Barnardshire General Hospital surgeon Nigel Burke is a busy man and the amount of work he has is constantly rising. Between the work at the hospital and during the ambulance calls he has been called by agents to do a special heart operation in space. With the latest update to Surgeon Simulator 2013, there is now a complete variety of space operations accessible from the main menu. They will test your skills and speed, as tools and organs will be flying around the whole time. However, there is more to see in this update – there is a new secret mission for more variety hidden behind ARG. Call Trisha, assemble clues or just look it up on the internet and prepare to be careful with "royal" blood.