# Operate Now Hospital - Surgery

> Be a tycoon and build a hospital in this realistic surgery game!

Canonical page: [https://chrome-stats.com/d/com.spilgames.OperateNow2](https://chrome-stats.com/d/com.spilgames.OperateNow2)

## Overview

- **ID:** `com.spilgames.OperateNow2`
- **Platform:** Android
- **Type:** Android app
- **Status:** Available
- **Publisher:** Azerion Casual
- **Category:** GAME\_ROLE\_PLAYING
- **Downloads:** 64,483,838
- **Rating:** 3.92 / 5 (512,851 ratings)
- **Version:** 1.58.20
- **Last updated:** 2026-03-04
- **First published:** 2017-05-03
- **Publisher country:** NL
- **Size:** 590 MB
- **Data as of:** 2026-09-10
- **Store listing:** [Google Play Store](https://play.google.com/store/apps/details?id=com.spilgames.OperateNow2)
- **Website:** [http://www.azerion.com](http://www.azerion.com/)
- **Privacy policy:** [https://static.gamedistribution.com/developer/clean\_fabrique\_privacy\_notice-v1.0.2021.html](https://static.gamedistribution.com/developer/clean_fabrique_privacy_notice-v1.0.2021.html)

## Description

**Operate Now Hospital - Surgery** is the ultimate realistic surgery simulation game where you take on the role of a surgeon and hospital tycoon. Build and upgrade multiple hospitals, manage your medical staff, and perform intense, lifelike surgeries that challenge your skills. With over 20 million downloads worldwide, this game provides a deep and engaging medical management experience combined with exciting surgical procedures.

Players build emergency rooms, intensive care units, and other departments, while hiring skilled surgeons to save patients' lives. The game features a detailed surgery engine allowing you to perform complex operations such as fixing broken bones and emergency procedures with precise tool manipulation. Beyond gameplay, Operate Now Hospital delivers dramatic storylines similar to medical TV shows, featuring rich character development and hospital intrigue. Whether you are a fan of simulation or surgery games, Operate Now offers an immersive and captivating hospital adventure.

## Rankings

- #2,364 — Overall

## Permissions and access

### Permissions

- `android.permission.ACCESS_ADSERVICES_AD_ID`
- `android.permission.ACCESS_ADSERVICES_ATTRIBUTION`
- `android.permission.ACCESS_ADSERVICES_TOPICS`
- `android.permission.ACCESS_NETWORK_STATE`
- `android.permission.ACCESS_WIFI_STATE`
- `android.permission.FOREGROUND_SERVICE`
- `android.permission.FOREGROUND_SERVICE_DATA_SYNC`
- `android.permission.INTERNET`
- `android.permission.VIBRATE`
- `android.permission.WAKE_LOCK`
- `com.android.vending.BILLING`
- `com.android.vending.CHECK_LICENSE`
- `com.applovin.array.apphub.permission.BIND_APPHUB_SERVICE`
- `com.google.android.c2dm.permission.RECEIVE`
- `com.google.android.finsky.permission.BIND_GET_INSTALL_REFERRER_SERVICE`
- `com.google.android.gms.permission.AD_ID`
- `com.spilgames.OperateNow2.DYNAMIC_RECEIVER_NOT_EXPORTED_PERMISSION`
- `io.gamedock.sdk.android.application.provider.READ`

## Review summary

Overall, players like the hospital-management concept and find the game enjoyable and realistic. However, stability is a major issue: many reviews report loading crashes and network errors preventing play, even with solid connectivity. Data persistence problems such as progress loss on device changes or failed cloud saves aggravate frustration, and some feel the game hasn’t been updated in a long time. A subset also cites permission prompts that interfere with play. The app has potential, but reliability and ongoing development need attention to improve user experience.

### Pros

- Hospital management/doctor simulation concept is appealing.
- Overall positive reception; many reviewers describe it as good and enjoyable.
- Realistic, doctor-themed gameplay that some players find immersive.

### Cons

- Frequent loading issues and crashes prevent starting or playing.
- Connection/network errors persist despite good internet.
- Progress loss and poor cloud/device synchronization (e.g., on new devices or during account linking).
- Not updated for a long time / stale development.
- Permission requests (phone call permission) can interfere with gameplay.

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- [Multi Surgery Hospital Games](https://chrome-stats.com/d/com.gamelyvilla.multisurgeryhospitaldoctorgame) — 3,061,548 users, 3.56 / 5
- [Hospital Doctor Surgery Game](https://chrome-stats.com/d/com.hospitaldoctor.surgerygames) — 34,921 users, 4.17 / 5
- [Surgeon Simulator: Doctor Game](https://chrome-stats.com/d/com.dlg.hospital.management.doctor.game)
- [Doctor's Office Simulation](https://chrome-stats.com/d/com.tinykrakengames.doctor.office) — 1,976,069 users, 3.44 / 5
- [Doctor Surgery Simulator](https://chrome-stats.com/d/com.ENVR.HeartSurgery.HandSurgery.Doctor) — 47,731 users, 3.88 / 5
- [Hospital Hero: Doctor rush](https://chrome-stats.com/d/om.jj.hospital.doctor.game.free) — 302 users

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Source: [Chrome-Stats](https://chrome-stats.com/d/com.spilgames.OperateNow2)