Operate Now Hospital - Surgery

Name: Operate Now Hospital - Surgery
Rating: 3.9242306 (512563 reviews)
Author: Azerion Casual

Azerion Casual

★ 3.9 (512,563 ratings)

⬇ 50,000,000+ downloads

Est. actual: 64,539,872

Style: Role Playing

Free

Released: May 3, 2017

IAP: $0.99 - $49.99 per item

Contains ads

Rated: Everyone 10+

Mechanics Tycoon & managementStory & characters

Signals

4 this week · 2 positive · 1 warning All of this week's signals →

📈Last 7 days +7.7K installs — 51% faster than the week before (+5.1K) · 1K/day since Sep 17
🏆Among Role Playing games top 4% by installs gained this week (11780 peers growing)
⭐Rating steady at ★ 3.92 since Sep 17
🛠Updates dormant · updated 242 days ago

Installs since launch

+46,309 installs · -255 ratings since Sep 17

SDKs in the app · version 1.58.3, analysed Sep 30, 2026

Ad mediationAppLovin MAX ironSource / Unity LevelPlay
Ad networkAppLovin SDK DT Exchange (Fyber)Google Mobile Ads (AdMob) 23.4.0 InMobi Liftoff Monetize (Vungle) 7.4.1 Meta Audience Network 6.18.0 Mintegral Unity Ads 4.12.3
Ad qualityAppLovin Ad Review (SafeDK)
AnalyticsFirebase Analytics 22.1.0 GameAnalytics
AttributionAppsFlyer Facebook App Events 16.3.0
ConsentDidomi Google User Messaging Platform 3.0.0
Crash reportingFirebase Crashlytics
Deep linkingFirebase Dynamic Links 21.0.2
Engagement & messagingFirebase Cloud Messaging 23.0.8
Game engineUnity (engine)
Game servicesPlay Games Services 17.0.0
PaymentsPlay Billing Library 6.2.1
PlatformPlay Asset Delivery 2.1.0
Remote configFirebase Remote Config 21.1.2
Social & loginFacebook Gaming Services Facebook Login Facebook SDK (core) 16.3.0 Facebook Share

9 mediation adapters

Adapters connect a mediation SDK to an ad network. An adapter alone does not mean the network’s own SDK is bundled.

AppLovin MAX adapter → AppLovinAppLovin MAX adapter → HyprMX 6.18.0.0AppLovin MAX adapter → HyprMX 23.4.0.0AppLovin MAX adapter → HyprMX 10.7.8.0AppLovin MAX adapter → HyprMX 8.3.1.1AppLovin MAX adapter → HyprMX 8.4.0.0.0AppLovin MAX adapter → HyprMX 16.8.61.0AppLovin MAX adapter → HyprMX 4.12.3.1AppLovin MAX adapter → HyprMX 7.4.1.2

Found by static analysis of the app package; bundled is not the same as active. All SDKs →

Update history

1.58.20 Mar 4, 2026 · seen Sep 17, 2026

Library updates and bug fixes

Only the current version so far — new entries appear as the game ships updates.

Trailer

Operate Now Hospital - Surgery screenshot

Operate Now Hospital - Surgery is a role playing game by Azerion Casual with 50,000,000+ downloads (about 65M estimated). +7.7K installs in the last 7 days. Rated 3.9 from 513K ratings. Released May 3, 2017. Install growth, rank history, SDKs and ad networks.

From the store listing: “Operate Now is the most realistic surgery simulation game. Operate patients like a surgeon and build your own hospital from scratch. Fan of surgery simulator and life simulation? Perform realistic surgeries on patients! Start to build and manage your own hospital and operate and rescue patients. Hurry, Doctor!…”