Achievements Unlocked
Don't worry, metagaming is all that matters.

How Do I Switch Hands???
If you saw someone casually club themselves upside the head with a toolbox anywhere in the galaxy but here, you'd probably be pretty concerned for them.

Mister Sandman
Mechanically speaking, there's no real benefit to being unconscious during surgery. Weird how insistent this doctor is about using the N2O anyway though, huh?