Pickle’s Surgery System | Training Surgeries | EMS RP — FiveM

FiveM surgery script gameplay gets a real skill ceiling here, giving your EMS or hospital roleplay actual hands-on surgeries for live patients, dead patients, and training cases. Instead of treating advanced medical RP like a simple progress bar, this system turns surgery into an active, high-stakes experience where doctors use tools, interact with props, and deal with outcomes that actually matter. That creates stronger hospital scenes, more memorable medical stories, and a reason for players to respect trained medical staff on your server.

🩺 Why This FiveM Surgery Script Changes Medical RP

The standout feature here is simple: this is not just another revive flow with a different UI. It introduces a first-of-its-kind surgery system built around direct interaction, including innovative hand targeting that lets players grab and use tools during the procedure itself. For medical servers, serious RP communities, and economy-based cities that want their EMS jobs to feel deeper, this adds a whole new layer of roleplay immersion while still giving staff a safe way to practice through training mode before operating on real patients.

It also solves one of the biggest problems with hospital roleplay in FiveM: lack of progression between basic treatment and true specialist gameplay. With support for both real and training patients, rewards for successful surgeries, and the ability to restrict access to specific jobs, server owners can turn surgery into a legitimate career path rather than a one-off gimmick. The included surgeries are open to edit as well, which gives your team room to expand the system around your own city lore and medical standards.

🎬 Script Showcase

The video shows how the surgery flow works in practice, including tool interaction, patient handling, and the high-risk medical gameplay this system brings to hospital RP.

⚙️ Hands-On Features That Create Better Medical Scenes

Everything included here is built to make doctor gameplay feel more active, trainable, and meaningful inside your server’s hospital environment.

• Innovative hand targeting that lets doctors use their hand to grab and interact with props during surgery.
• Includes 5 custom surgeries, all open to edit and / or expand with additional surgeries.
• Heart Surgery included.
• Kidney Surgery included.
• Lung Surgery included.
• Arm Surgery included.
• Leg Surgery included.
• Use various tools during surgeries, including a scalpel to cut tendons.
• Use a saw to cut bone during relevant procedures.
• Use a syringe to heal bleeding wounds.
• Perform surgeries on real players to heal them, with support for dead players.
• Failed surgeries kill the player, creating real consequences and tension during critical medical RP.
• After a failed surgery, you can try again or leave the patient be.
• Training Mode option allows doctors to practice surgeries before performing them for real.
• Receive rewards for surgeries done on players and / or during training.
• Reward support includes items.
• Reward support includes cash.
• Reward support includes XP (Uses Pickle XP by default).
• Restrict surgeries to specific jobs.
• Bridge is fully accessible for framework adaptation.
• And more!

🏥 Built for Serious FiveM Medical Roleplay Script Setups

This system fits best on servers where EMS and hospital departments are meant to feel like real careers instead of simple support roles. Because surgeons can operate on real patients, even dead players, you can create dramatic emergency room scenes, specialist training programs, and internal hospital progression that players genuinely want to participate in. If your city already values whitelist jobs, medical standards, or progression-based roleplay, this adds depth without boxing you into a rigid framework.

🔌 Compatibility, Requirements & Setup Notes

The resource supports ESX (1.1+) / QBCore out of the box, or you can code your own bridge to work with your framework using the fully accessible bridge system. Ox Lib is required and works anywhere. That makes this a strong fit for established servers that want framework flexibility while still keeping the resource server-ready for common FiveM setups.

• Frameworks: ESX (1.1+) / QBCore
• Custom framework support: Yes, code your own bridge to work with your framework
• Bridge access: Fully accessible
• Required dependency: Ox Lib
• Ox Lib note: Required, Works anywhere
• XP integration: Uses Pickle XP by default

❓ Surgery System FAQ

Q: Can this be used on dead players, or only conscious patients?

A: Yes, it supports dead players. The resource can resurrect dead players for a surgery, and if the surgery fails, it can kill them again.

Q: How many surgeries are included by default?

A: It includes 5 custom surgeries: Heart Surgery, Kidney Surgery, Lung Surgery, Arm Surgery, and Leg Surgery. These surgeries are open to edit and you can also add more.

Q: Is there a way for doctors to practice before operating on real players?

A: Yes. The system includes a Training Mode option so players can try out surgeries before doing them for real on actual patients.

Q: What frameworks does it work with?

A: It supports ESX (1.1+) and QBCore. If you use something else, the bridge is fully accessible so you can code your own framework support.

Q: Are there rewards for completing surgeries?

A: Yes. Surgeries done on players and / or during training can reward items, cash, and XP, with Pickle XP used by default.

For servers that want hospital roleplay to feel skilled, risky, and worth training for, this system opens a lane that most medical scripts never touch. It gives your doctors something to master, your patients scenes they will remember, and your EMS department a true specialist role inside the wider city. That is the kind of feature players talk about long after the operation is over.