Palworld Surgery Table, Implants and Dr. Brawn — How It Works

The Pal Surgery Table is a base structure that unlocks at Tech Lv 38. Per palworld.wiki.gg it changes a Pal's gender or its passive skills, and it must be placed inside a Palbox base area. Gender needs a Pal Reverser; passives need gold, and for most of them the implant too.

Of the 54 passives the table lists, 19 are for gold alone and the rest only with their implant in your inventory. Follow the steps in order the first time you use it; the tick boxes stay in this browser.

There are 61 implants: 40 permanent ones you unlock once, and 21 disposable ones, each a one-time graft. The two kinds have different sources, summarised below; each row's catalogue page lists the exact implants.

A graft costs 10,000 or 50,000 gold per passive, depending on the passive's rank, whether the passive is gold only or also needs a permanent implant. The table lists a price of 0 for the 21 passives that use a disposable implant.

Dr. Brawn is a Pal doctor NPC. Per palworld.wiki.gg he can be found almost anywhere on the Palpagos Islands and appears randomly, and he will ask to experiment on a selected Pal "for the better or worse": accepting can lead to a random positive or negative stat change and passive skill change.

The wiki page is a stub, so this guide does not say how often he appears, whether he can be captured or what his stat change touches. Treat his offer as a gamble and do not spend it on the Pal you cannot replace.