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    X Operations Guide by NickOfTime

    Version: 1.3 | Updated: 08/31/07 | Search Guide | Bookmark Guide

    |         X OPERATIONS GENERAL GUIDE        |
    |                  Ver. 1.3                 |
    |  By NickOfTime (NickOfTime146@gmail.com)  |
    |  Copyright 2007 by Nicholas Carrasquillo. |
    | Legal Notice |
    The only sites allowed to host this guide are:
    Please don't take it without my permission.
    This guide is actually fully intended to only be hosted on GameFAQs, mostly
    because it uses the "Triti Guide (GIF)" as a minor supplement. Just letting you
    know ahead of time so you don't feel bad when I decline your offer. Except on
    certain occasions.
    | Contact Info |
    If you wish to contact me, my e-mail is NickOfTime146@gmail.com. However, if
    you're going to ask me a question that is answered here, don't e-mail me. If I
    get back to you when you e-mail me something like that, it'll probably be
    something very mean. :|
    Contact me if you have a new strategy for a certain X operation, as this will
    aid those who view this guide. I will give full credit to those who contact me
    with new strategies, as long as they provide a name. Or I'll just use the name
    I got as an e-mail address (except for the @email.com part; so, using my e-mail
    address as an example, "NickOfTime146@gmail.com" would be credited as just
    Also, have the subject of the e-mail be something like "Trauma Center X
    operations guide" and I'll know that you have something to say about it.
    | Introduction |
    Since I heard about the trouble people have been having on the 7 X missions in
    Trauma Center, I figured I might make a topic about it. But after realizing
    that the topic won't last for quite a long time due to topic purging, I decided
    to write a guide that I could submit, so it'd be able to help longer. 
    This guide is here to provide tips and/or help you figure out how to complete
    every last X operation. If you still need help on a certain part or are unclear
    as to what you should do at a certain part, email me and I'll try to get back
    to you. Really. Unless you could get help by just re-reading it.
    Also, since this is a guide on Trauma Center, there is going to be some
    spoilers, obviously.  Just letting you know.
    Despite the spoilers, however, this guide is written on the basis that you
    know some things about the game. Like where the tools are, how to use them, who
    everyone (including Adam) is, and basically how to get rid of each GUILT. I
    mean, you got to the X operations, so you must know how to get rid of them,
    Anyway, no one really reads this stuff, so on with the guide.
    | Table of Contents |
    1. General Tips
    2. X Operations "Story"
    3. X Operations
      3.1. X1: Kyriaki
      3.2. X2: Deftera
      3.3. X3: Triti
      3.4. X4: Tetarti
      3.5. X5: Pempti
      3.6. X6: Paraskevi
      3.7. X7: Savato
    4. Version History
    5. Credits
    6. Copyright Information
    7. Conclusion
    Just Ctrl+F and find what you're looking for.
    | 1. General Tips |
    If you just started on these X operations, one easy thing to do is learn how to
    use two styli. It helped me finish nearly all of them easier, and it'll help
    with getting higher ranks on them.
    If you want to learn how to use two styli, try doing simpler operations with
    both of them, using your left hand to pick out the tools on the left, and using
    your right hand to get things done and pick out the tools on the right. Or vice
    versa, if you're left-handed. After a while, you could try doing things with
    your left hand, like cutting open a patient or suturing. 
    Just know that it'll be a bit easier to get the operations done with two styli.
    It's definitely possible with one, but it probably might take a little longer.
    | 2. X Operations "Story" |
    I put "story" in quotes because of the fact that there's pretty much no story.
    The only reason these operations exist is to give you that extra challenge you
    crave so much. However, there is that little bit of dialogue between Stiles and
    Adam that some people would consider a small bit of "story." So I'll include
    that bit of info. Look for it in the "X# operations" sections; it'll be there.
    Also, the people you're operating on remain completely anonymous. You don't
    even know if the person's really alive, dead, boy, girl, young, old, or
    anything like that. I just assume that the person you're working on is Adam
    himself, even though the patient in X6 looks like a woman.
    | 3. X Operations |
    Adam will have three bits of dialogue that are consistent throughout all the X
    operations, save for X7. I just thought I'd include them here.
    During the operation:
    Adam: "No matter how hard you try, you cannot overcome the power of death!"
    After completing the operation (except for X7):
    Adam: "Your skills have given birth to many lives which never should have been.
           ...They are your GUILT..."
    When the patient dies:
    Adam: "People strive toward death... Only a fool could deny that."
    They all sound pretty villian-ish to me.
    I'll also give you tips on if you should use the Healing Touch (abbreviated as
    "HT"), and when you should use it.
    -----| 3.1. X1: Kyriaki |
    Time Limit: 5:00:00
    Condition: Dr. Stiles's unreleased report number 1: Invisible blades "Kyriaki"
    Adam: "This... is mankind's first sin. Man created swords to kill, and was in
           turn killed by swords. Don't you see? Man has always sought ways to
           achieve death."
    Derek: "That's not true! We created many other things in order to live!"
    First off, let me say that if you could finish this operation, you are able to
    succesfully finish any other operation. It also might take you longer to read
    this than actually do it. Just letting you know how incredibly complicated this
    might seem. Even so, it's easy once you got the basic routine down.
    After opening up the patient, you'll notice that there are four large gashes,
    and three normal lacerations. The first thing you want to do is suture three of
    those gashes and all of the normal lacerations. After doing that, raise vitals
    to 99, and close up that last gash. This will cause the first wave of Kyriaki.
    Use the Healing Touch right when they're making their appearing lacerations.
    This will help you if you're just trying to complete it for the first time.
    After using the HT, immediately ultrasound where they ended their lacerations
    and cut them out. Right after that, apply antibiotic gel all over the lung in
    a sort of "M" shape. This will prevent your patient's vitals from spiking down
    too fast for you. 
    I cannot stress this enough. Keeping the gel on the lacerations will prevent
    vitals from dropping too fast for you.
    To raise vitals when needed, just switch between the gel and stabilizer.
    After remembering to do that, continue with incinerating the Kyriaki. Know that
    after two of them disappear, the next wave shows up. So just destroy one, get
    vitals up for the next wave, and destroy the other two at the same time. 
    Don't try to suture anything yet. If you do, the Kyriaki will just recreate the
    lacerations that you sutured. Besides, you're going to suture it all anyway.
    Do the same thing with those two Kyriaki that you did with the first three.
    Ultrasound, scalpel, gel (everywhere), stabilizer, laser, etc. If you had
    success with the first three, these two will be no problem for you.
    After destroying those two, suture everything (remember to keep gel on the 
    lacerations still) except for one (1) laceration. Before suturing that last
    one, raise vitals to 99. If you run out of stabilizer, don't worry about it.
    If your vitals are close to 99 and you're almost out of stabilizer, use that
    last bit so that you actually do run out. It'll fill back up faster.
    After that, the mature (or "boss") Kyriaki appears, with one regular one. 
    Repeat the same procedure as before, and you have it done. Congratulations.
    You still need to keep the gel on the lacerations when you start treating the
    last of the lacerations. 
    That's it for X1. Not complicated, right?
    -----| 3.2. X2: Deftera |
    Time Limit: 5:00:00
    Condition: Dr. Stiles's unreleased report number 2: Creeping tumors "Deftera"
    Adam: "Man crawls on the earth like vermin, breeding and fighting for eternity.
           Yet you dare judge them... You who lost the will to die properly."
    Derek: "What's that even supposed to mean!?"
    Getting rid of the Deftera in the stomach is much too easy to give you tips on.
    So I won't. I'll just skip right ahead to the Deftera in the lung.
    However, don't bother to raise vitals when you're done with the stomach; vitals
    are raised to 99 automatically.
    At first glance, this operation seems like a walk in the park. Then the Deftera
    start ramming into each other. Despite what happens, you shouldn't panic. That
    usually ends up causing you to screw up. 
    Also know that the gel acts as a temporary "wall" for the Deftera. Meaning that
    if you apply gel somewhere, the Deftera won't go across it, and will just 
    bounce off it. This is incredibly useful if used right.
    Work only on draining one pair first, too. It's too much hassle to do both at
    the same time. When one pair of Deftera stall on each other, apply gel in a 
    circle around it. This will prevent the other Deftera from breaking it up and 
    spiking vitals.
    After draining a pair, you don't have to worry about the same colors of Deftera
    ramming into each other. You still have to draw a gel circle to prevent a 
    break-up, though.
    Use the Healing Touch if you see that there's "too many" tumors and vitals are
    getting low.
    When you get rid of one pair, clean up the tumors with the laser, treat any of
    the wounds you may (or may not) have caused, and then move on to the next pair.
    Make sure that your vitals aren't too low.
    That's it for X2. Whoo.
    -----| 3.3. X3: Triti |
    Time Limit: 5:00:00
    Condition: Dr. Stile's unreleased report number 3: Contagious nightmare "Triti"
    Adam: "In 1995, the Aum Shinri Kyo cult attacked a Tokyo subway station. We
           studied that attack in detail while developing our own GUILT. Their
           weapon was an airborne virus which calcified its victims' organs. ...But
           the public was lead to believe it was just sarin gas. Modern man is the
           very model of hypocrisy. You glorify the discovery of medicine, but hide
           the fact that your own kind is creating disease!"
    Derek: "...And you'd rather create new ways for us to die? That's insane!"
    I personally view this operation as a "love or hate" procedure. 
    One way to do it is to use the HT right away, then take out as many thorns as
    humanly possible, then take out as many Triti pieces as humanly possible. 
    Repeat if necessary. 
    Another way to do it is to use the pattern found in the "Triti Guide (GIF)" on 
    the FAQ list for this game. I haven't used it right, but it seems helpful.
    The easy, but long way is to take out the few Triti on the upper left, and
    nothing else. This will cause the rest of the Triti to become this gigantic
    mass, but it's easy to manage, since it won't really grow any bigger. To deal
    with this giant petrification, systematically take out one layer of Triti at a
    time. This means that you should take out the thorns that are on the upper
    left, and take out the Triti that are exposed. The bottom right corner
    shouldn't be worried about until the upper left is extracted.
    Continue doing this until you have two (2) Triti pieces left. When you're at
    this point, wait for the 4 thorns to regrow. Then take out all four at once,
    cut it all, then take the Triti pieces out as fast as you can. If a thorn
    vaporizes, then don't bother continuing. The other thorns will grow too fast
    for you. Just wait for that thorn to regrow, and try again.
    In general, if a thorn vaporizes, drain it. If you don't, it will trigger the
    growth of more Triti in some other area.
    If one Triti piece is left alone (no other adjacent pieces exist) and it has
    a thorn, it will trigger the growth of more Triti.
    You may use the Healing Touch for the last 2 or 3 pieces, unless you're fast
    enough to get all of it before the thorns regrow.
    That's it for X3. Not too hard.
    -----| 3.4. X4: Tetarti |
    Time Limit: 5:00:00
    Condition: Dr. Stiles's unreleased report number 4: Synchronized poison
    Adam: "Nature mandates that mankind will eventually succumb to its poison.
           However, humans created their own poison, called medicine. It's
           delusional to believe you can poison Nature to avoid your fate."
    Derek: "No... It's delusional to dismiss people's deaths as "fate." "
    This operation is most likely the easiest X operation there is. In fact, the
    only tip I have to give you is to use the HT when you feel that they're going
    too fast for you. 
    But if you slip up and inject the wrong serum into the wrong Tetarti, all three
    will reconstruct their diverticula. If this happens, it's no problem. Just
    start the operation over. 
    One more thing. For the starting diverticula, the bottom one is purple, the one
    on the right is green, and the one on the left is yellow. This is good to know
    so you won't have to wait for them to grow to inject the serum into them.
    That's it for X4.
    -----| 3.5. X5: Pempti |
    Time Limit: 5:00:00
    Condition: Dr. Stiles's unreleased report number 5: Armored bacteria "Pempti"
    Adam: "Mankind's greed has no ending... You continue to consume everything
           until even your hose is laid waste. Is your survival that important?
           ...So important you would trade it for the earth's destruction?"
    Derek: "If people as a whole are consuming too much, then maybe that's another
            disease we have to cure!"
    This operation is slightly based on luck. The attacks that the core uses is
    completely random after the initial laceration/tumor/revolving core attacks, so 
    if you find yourself smothered by tumors or lacerations, you could just start
    over and hope that you'll only get the revolving cores.
    Here's something from the GFAQs boards:
    "From Matt_Kamineko
    Does anybody try the X missions with the pause-unpause technique?
    I only got past Pempti by switching tools and targetting laceration nodes while
    After reading this, I realized that Pempti could be dealt with a lot easier by
    doing this. What it is: Before choosing a tool or positioning your laser on a
    laceration/tumor/revolving core, you pause it. Then you position your stylus on
    the core you're going to attack, or the tool you're going to select,then 
    unpause and laser/select. This is an extremely useful technique, and will help 
    you if you're trying to complete it for the first time.
    If you're fast enough, however, keep the laser on the main core even if it's 
    not active. Doing this will hit the small cores as they're sent out. It's a
    small advantage, but with Pempti, you'll need every bit of it. 
    Use the Healing Touch if you see that the Pempti's attacks are more extreme
    than usual. This means it's nearly defeated. 
    Again, this operation is slightly based on luck. If you wish to use the pause
    technique, then go ahead.
    That's it for X5.
    -----| 3.6. X6: Paraskevi |
    Time Limit: 5:00:00
    Condition: Dr. Stiles's unreleased report number 6: Arrow to the heart
    Adam: "In young forests at the dawn of time, plants were born with the ability
           to kill humans. ...Such simple, perfect beings. Do you understand the
           meaning of such toxic organisms? They demonstrate that all creation
           seeks an end to mankind."
    Derek: "If humans are to be judged... it won't be at the hands of other men!"
    As usual, the Paraskevi go through the body from the intestine to the stomach
    to the liver, then to that little area under the heart that I can't identify.
    Then it ends up digging into the heart and mutilating it.
    Now, if you've done Sixth Sin and did a good job at it, you might just finish
    this one without any trouble. However, the procedure in doing this is slightly
    Due to the fact that every X operation gives you an incredibly unstable
    patient, the lacerations that the Paraskevi make when you cut it in half must
    be sutured as soon as possible. When you cut it in half the first time, you can
    either keep freezing one half and work on the other, or let the other half go
    on to the stomach so you could focus on worrying about only one. Either way 
    After reading that, you may have figured out that you should only worry about
    one Paraskevi section at a time. When you cut the half you're working on, start
    working on one of those halves, and keep the other half frozen. Keep doing this
    until you're able to extract the single sections of it.
    Don't cut two Paraskevi sections at once. This will just cause your patient to
    lose vitals unnecessarily quickly, and possibly kill him/her. Even if there's
    two Paraskevi sections that only need to be cut one more time to extract, don't
    do it.
    If you haven't been able to contain the Paraskevi and you're close to the
    heart, use the Healing Touch. You may also use it if you haven't been attending
    to the lacerations, and vitals are dropping a little too fast.
    That's it for X6.
    -----| 3.7. X7: Savato |
    Time Limit: 10:00:00
    Condition: Dr. Stiles's unreleased report number 7: Faceoff with death "Savato"
    Adam: "My beautiful, perfect image of Death itself...Savato. But... What if I
           told you this Death existed in all human DNA? ...I merely gave it the
           chance to take form. This is the Death you have denied. ...Our guide to
           the truth."
    Derek: "Even if what you're saying is true, Savato remained dormant. We found a
            way to overcome Death-- that was humanity's choice!"
    This operation is generally about having your priorities set. 
    During the first "phase," Savato will have his little web, as usual. You'll
    find out that this web is stronger than in Death Awaits All and Final Sin. But
    don't worry. If you want to, you could just slowly scribble over the web, which
    will weaken the strands. Then cut one strand, and raise vitals. When Savato
    reconstructs a strand, cut that one instead of a weakened one.
    Or, you could just ignore the fact that it's stronger, and do the same thing
    you've been doing for the other two Savato operations. It's all the same.
    When Savato spawns the little bugs, which I call Savatolings, you should only
    worry about them if you have nothing better to do. Meaning that if you're
    waiting for a scalpel, and the patient's vitals are high enough (99), then
    laser them. I prefer to leave them there, because it's too much hassle to tend
    to everything at once. 
    When the Savatolings spawn a blue Savatoling, your vitals are instantly halved.
    Most people tend to panic because it seems like the patient's going to die. 
    Just raise vitals and continue if you're going to leave it there. 
    If you see that a blue Savatoling is flashing red, you could laser it or not
    worry about it. It won't do anything to hinder your vitals when it explodes
    into a bunch of normal Savatolings, so do what you want with it.
    Also know that only 3 blue Savatolings could exist at any time. This is why I
    leave them there. Vitals could only be up to 35, but the web won't cause a
    decrease that extreme.
    How you should prioritize the first "phase" of Savato:
    1) Cutting the web
    2) Keeping vitals stable (I generally leave it at 40-50)
    *) Lasering the Savatolings
    (The * means it's entirely optional; it won't matter since they're going to
     disappear into Savato anyway)
    During the second "phase," Savato will generally wander around until you get to
    lasering him. But this is X7, so he'll generally wander around and randomly
    make triple lacerations, causing vitals to drop by 15 with each attack. Unless
    you laser his shell, of course. Also, don't worry too much about the
    Savatolings. If you become distracted by them, Savato will kill your patient
    because you left him unattended.
    It seems like touching Savato with anything other than the laser will cause him
    to go ahead and make those triple lacerations. So if you're in the middle of
    suturing something, and he gets in the way, go all the way around him. You just
    might get a Cool for it anyway.
    Something from the GameFAQs boards caught my interest:
    "From ultrafiremage
    i saw a really nice tactic in a x7 video... the guy lasered, then sliced savato
    and while it was stunned, he lasered the crap out of it and he was able to 
    slice it again immediately.
    i tried it and it only works twice in a row because the laser will delplete 
    itself by then so use it on the last two cuts"
    If you do this, there's only a small risk that Savato will ever get to use his
    triple laceration attack. I've done it, and Savato never got to attack at all,
    save for the mandatory Savatoling spawning. I'm sure this will help you.
    How you should prioritize the second "phase" of Savato:
    1) Lasering Savato
    *) Lasering the Savatolings
    *) Suturing the lacerations
    After stabbing Savato the third time, the Savatolings will once again be
    absorbed into Savato. This is when you come in with the black serum. When you
    inject it into him, he'll make his usual nine-laceration attack.  This will
    only make your vitals go down to 30, if it's higher than that. His
    three-laceration attack after that doesn't do anything to your vitals, though.
    But every attack after that does 25 vital damage. So use your second HT after
    the first one activates and get rid of the thing.
    All the lacerations will instantly become healed after Savato dies, but you're
    free to suture all of them during your "time-freeze" HT. It lasts forever, so
    feel free to take your time.
    That's it for X7. 
    Adam's dialogue after X7 is different than the rest.
    Adam: "Your skills have given birth to many lives which never should have been.
           As it is written in Revelation 9:6, "During those days men will seek
           death, but will not find it-- they will long to die, but death will
           elude them." Just as the prophecy states, I have set a plague upon
           mankind to torment those who have betrayed natural law. ...At the end of
           all life, I alone will stand as an angel before the gaping abyss... I,
           who have become the great destroyer Apollyon! ...Your medicine is
           deceit, and you are nothing but a false prophet..."
    | Version History |
    -----| Version 1.0 |
    The first version of the guide.
    -----| Version 1.1 |
    Added neoseeker.com to the list of websites authorized to host this guide.
    Also touched up on some little details.
    -----| Version 1.2 |
    Fixed some more small details.
    -----| Version 1.3 |
    Fixed more details that were bothering me.
    | Credits |
    Credits go to:
    Nintendo: For making such a great handheld console, the Nintendo DS.
    Atlus: For making such a great game, Trauma Center: Under the Knife.
    CJayC: For making this site, http://www.gamefaqs.com
    Matt_Kamineko: For notifying me (and everyone else) of the "pause technique."
    ultrafiremage: For notifying me (and everyone else) of the technique one can
                   use to stab Savato twice in a row.
    You: For reading this guide, of course.
    | Copyright Information |
    Trauma Center: Under the Knife is Copyright 2005-2007 by Atlus.
    This guide is Copyright 2007 by Nicholas Carrasquillo.
    Please do not take this guide and do something bad with it, or else. >:(
    | Conclusion |
    So there you go. If you're still reading this, then I know you have nothing
    better to do with your time. Not that it's a bad thing of course. Free time is
    usually a sign of wealth. Hopefully you've been helped by this guide. If you
    haven't, constructive criticism is welcome. Any typos or mistakes you may find
    are easily fixed if you notify me of them. Just don't send anything like "lol u
    r nub i could do dat operation in dis way you nubhole." If you do, I'll block

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