# PeriopSim vs CSTSetup

The clearest difference is rating: CSTSetup at 5.0 against PeriopSim's 3.3. CSTSetup also leads on update cadence (every 5 days vs every 5 months). PeriopSim's advantage is in-app purchases (none vs 2) and ratings volume (4 vs 1). On price, ads and device support there is nothing between them.

Both are free to download. CSTSetup sells 2 in-app purchases, starting at $12.99 per month. PeriopSim asks for nothing beyond the download.

CSTSetup holds the better App Store score, 5.0 against 3.3. Both are backed by a comparable volume of ratings — 4 and 1 respectively.

PeriopSim ships an update every 5 months, CSTSetup every 5 days. The most recent releases landed on September 9, 2026 and September 21, 2026 respectively.

## The numbers

| Metric | PeriopSim | CSTSetup |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.3 (4 ratings)](https://appshunter.io/ios/app/periopsim/id960363034/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/cstsetup-case-prep-and-setups/id6760922022/reviews)** |
| Number of ratings | **4** | 1 |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 5 days** |
| Monetization | **Free** | Freemium |
| Size | 130 MB | 58 MB |
| Requires iOS | **13.0** | 16.4 |
| Devices | iPad, Mac | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [Conquer Experience Inc](https://appshunter.io/developer/1551005418) | [CSTSetup](https://appshunter.io/developer/1886831213) |

## What reviewers say

### PeriopSim

[App page](https://appshunter.io/ios/app/periopsim/id960363034)

This tool allows operating room educators to train nurses and surgical technologists on surgical procedures. It offers safe practice, instrument recognition, and step-by-step preparation for unfamiliar surgeries through interactive video and timed challenges.

**Highlights:** Safe surgical skills practice, Instrument recognition training, Interactive real surgery videos, Step-by-step procedure preparation, Timed skill challenges, Leaderboard scoring

**Features:** Vision Pro support

**In-app purchases:** none


### CSTSetup

[App page](https://appshunter.io/ios/app/cstsetup-case-prep-and-setups/id6760922022)

This app provides surgical technologists, students, and educators with a comprehensive library of surgical setups, instrument details, and case log verification. Master hundreds of procedures, identify over 2,700 instruments, and ensure your clinical experience counts towards your logbook.

**Highlights:** Hundreds of surgical setups, 2,700+ instrument library, Instrument identification and details, Surgical case log evaluator, Procedural blueprints, Instrument handling cautions

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| CSTSetup Monthly Pro | $12.99 | per month |
| CSTSetup Yearly Pro | $155.99 | per year |


## Frequently asked questions

### Is PeriopSim free?

PeriopSim is free to download, with no in-app purchases.

### Is CSTSetup free?

CSTSetup is free to download, with in-app purchases available.

### Which has better reviews, PeriopSim or CSTSetup?

CSTSetup is rated higher. PeriopSim averages 3.3 out of 5 from 4 ratings, while CSTSetup averages 5.0 from 1 ratings.

### Do PeriopSim or CSTSetup have ads?

Neither PeriopSim nor CSTSetup shows ads.

### Which is updated more often, PeriopSim or CSTSetup?

PeriopSim ships an update every 5 months, and CSTSetup every 5 days. Most recently, PeriopSim was updated on September 9, 2026 and CSTSetup on September 21, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*