Ultimate Palworld Surgery Table Guide: Maximize Your Pals with Implants

The days of endless breeding loops are finally evolving. With the introduction of the Surgery Table in the latest updates, Palworld has shifted from a pure numbers game of luck to a strategic lab where you can literally engineer your perfect team.

If you have ever felt the frustration of breeding a Pal with three perfect traits only to have the fourth slot ruined by "Slacker" or "Pacifist," this guide is for you.

We are diving deep into how to use the Surgery Table, where to find the best implants like Mine Foreman and Work Slave, and how to hunt down the elusive Little Kinship Peach to cement your status as a master Pal architect.

How to Unlock and Build the Surgery Table

You cannot just slap together a medical station with wood and stone. The Surgery Table is a high-tier piece of technology that requires a significant investment in both player level and rare resources.

• Technology Level: You must reach Level 36 to unlock the Surgery Table in the Technology tab.
• Point Cost: It requires 3 Technology Points to unlock.
• Building Materials: You will need 30 Refined Ingots and 20 High-Quality Cloth.

Refined Ingots are produced in an Improved Furnace using Ore and Coal, while High-Quality Cloth can be crafted from Wool or dropped by Pals like Sibelyx. Once placed in your base, the table becomes the hub for all Pal modifications, including passive skill swapping and gender reassignment.

Mastering the Art of Pal Implants

The core mechanic of the Surgery Table revolves around Implants. These are essentially permanent items (similar to Skill Fruits but for passives) that allow you to overwrite a Pal's existing passive skills.

Unlike many consumables in Palworld, most Implants are reusable. Once you purchase a "Chip" for a specific skill, you own it. However, the surgery itself is not free. Each operation costs between 10,000 and 50,000 Gold Coins, depending on the complexity and tier of the skill you are trying to install.

Where to Find the Best Implants

You cannot simply find these chips in random chests. You must seek out specific vendors and trade specialized currencies.

• Bounty Officers: Located in settlements (like the one near the Plateau of Beginnings), these NPCs trade in Bounty Tokens. They carry essential worker and combat passives such as Artisan, Burly Body, and the highly coveted Musclehead.
• Arena Merchants: Found near the Eastern Wild Island, these merchants require Battle Tickets earned through Arena combat. They sell utility chips like Runner, Serenity, and Infinite Stamina.

For a full breakdown of vendor locations and stock, checking a community-driven resource like the Palworld Wiki can help you pin down the exact coordinates of the Bounty Officers.

Min-Maxing with Mine Foreman and Work Slave

If you want to reach the pinnacle of efficiency, you need to focus on specialized builds. The Surgery Table allows you to "plug the holes" in your Pal's passive list.

The Ultimate Miner: Mine Foreman

The Mine Foreman implant is a game-changer for players who spend their time in the late-game Ore and Sulfur pits.

• The Benefit: It grants a massive boost to the player's mining efficiency while the Pal is in the party.
• The Strategy: Don't waste this on a combat Pal. Put Mine Foreman on a Pal with high weight capacity or a mount. By using the Surgery Table, you can take a Pal that already has Vanguard (Player Attack +10%) and add Mine Foreman to create the ultimate resource-gathering companion.

The Base Powerhouse: Work Slave

For base-dwelling Pals, Work Slave is the gold standard. It provides a 30% increase to Work Speed at the cost of a 30% reduction in Attack.

• Why it Matters: Since your base workers rarely need to fight (provided your base is well-defended or located in a non-raidable spot), the attack penalty is irrelevant.
• The Combo: Use the Surgery Table to stack Work Slave with Artisan (+30% Work Speed) and Serious (+20% Work Speed). This creates a Pal with an incredible 80% total Work Speed bonus, turning your assembly lines into a blur of productivity.
• The Secret Ingredient: How to Get Little Kinship Peaches

While the Surgery Table handles the "nature" of your Pal, the Little Kinship Peach handles the "nurture." These peaches are a new consumable used to increase the Trust Level of your Pals. High trust translates to better performance and base stat buffs that can make even a humble Lamball viable in the endgame.

Farming Kinship Peaches

There are three primary ways to acquire these rare fruits:

• Freeing Pals: When you raid an enemy camp and unlock a cage, there is a high chance the freed Pal will leave behind a Little Kinship Peach as a thank you.
• Bounty Targets: Taking down high-value human targets marked by Bounty Officers often rewards you with peaches.
• Sakurajima Island: This region is known for having a higher density of enemy bases, making it the most efficient place to farm peaches in a short amount of time.

It takes exactly 10 peaches to max out a Pal's Trust Level. If you are looking for a visual guide on the best farming routes, creators at Pocketpair's official community hub often share updated maps of enemy base locations.

Practical Surgery Tips for the Modern Tamer

Before you start slicing and dicing your favorite companions, keep these professional tips in mind:

• Replace, Don't Just Add: If your Pal already has four passive skills, you must select one to be deleted and replaced by the new implant. Choose wisely; the deleted skill is gone forever.
• The Gender Swap: By purchasing a Pal Reverser from a Bounty Officer, you can change a Pal's gender at the Surgery Table. This is vital for breeding rare Pals like Selyne or Jormuntide, which often have skewed gender ratios.
• Save Your Gold: Since the surgery costs 50k gold at the top end, make sure you have a reliable gold farm (like selling Nails or high-tier Salad) before you begin a mass-optimization project.

The Surgery Table represents a shift in Palworld's philosophy. It rewards players for engaging with all systems—Bounties, Arenas, and Exploration—rather than just standing next to an egg incubator for twelve hours.

By combining the raw power of Work Slave and Mine Foreman with the stat boosts of Kinship Peaches, you can finally build the "perfect" Pal you have always envisioned.