Operate Now Downloads & RevenueOperate Now: Hospital · App Store & Google Play
Operate Now: Hospital by SPIL GAMES is on App Store and Google Play. Active Users (MAU & DAU), Downloads, rankings, keywords, revenue, and rating totals.
Operate Now: Hospital update history & changes
Last change · 32 events since 3 May 2017Full timeline ↓⭐iOSPassed 100K ratings🔎iOSTop 10 for “now”🆕AndroidFirst spotted by AppInsider⭐iOSPassed 100K ratings🔎iOSTop 10 for “papa's” in 2 countries📈iOSCharting in a new country📈iOSEntered the top 100🔎AndroidTop 10 for “hospital”🆕iOSFirst spotted by AppInsider📦iOSVersion 1.58.20📦AndroidVersion 1.58.20🆕iOSReleased on the App Store🆕AndroidReleased on Google Play
Full timeline · 32 events
- 🔎Operate Now: Hospital reached Top 10 for “now”iOS#9 in France search · popularity 68
- 🆕Operate Now: Hospital first spotted by AppInsiderAndroidUnited States (found via search)
- 🔎Operate Now: Hospital reached Top 10 for “papa's” in 2 countriesiOSArgentina, Philippines search · popularity 42
- 📈Operate Now: Hospital charting in a new countryiOSCanada
- 📈Operate Now: Hospital entered the top 100iOSTop Free · Role Playing · DE
- 🔎Operate Now: Hospital reached Top 10 for “simulator”iOS#10 in Canada search · popularity 62
- 🔎Operate Now: Hospital reached Top 10 for “now”iOS#9 in Taiwan search · popularity 42
- 🔎Operate Now: Hospital reached Top 10 for “simulator”iOS#10 in United Kingdom search · popularity 63
- 📈Operate Now: Hospital charting in a new countryiOSUnited Arab Emirates
- 🔎Operate Now: Hospital reached Top 10 for “simulator”iOS#8 in Australia search · popularity 63
- 🔎Operate Now: Hospital reached Top 10 for “simulator”iOS#10 in France search · popularity 68
- 🔎Operate Now: Hospital reached Top 10 for “simulator”iOS#7 in South Korea search · popularity 61
- 📈Operate Now: Hospital entered the top 100iOSTop Free · Role Playing · ID
- 📈Operate Now: Hospital charting in a new countryiOSSaudi Arabia
- 🔎Operate Now: Hospital reached Top 10 for “hospital”Android#10 in Russia search · popularity 74
- 🔎Operate Now: Hospital reached Top 10 for “simulator”iOS#10 in Sweden search · popularity 60
- 🔎Operate Now: Hospital reached #1 for “hospital”iOS#1 in India search · popularity 67
- 📈Operate Now: Hospital charting in a new country in 3 chartsiOSAustralia · France · Indonesia
- 📈Operate Now: Hospital entered the top 100iOSTop Free · Role Playing · FR
- 🆕Operate Now: Hospital first spotted by AppInsideriOS#69 in Top Free · Role Playing · Brazil
- 📦Operate Now: Hospital version 1.58.20iOS- Various performance improvements
- SDK updated - 📦Operate Now: Hospital version 1.58.20AndroidLibrary updates and bug fixes
- 🆕Operate Now: Hospital released on the App StoreiOS
- 🆕Operate Now: Hospital released on Google PlayAndroid
Collected from the stores by AppInsider since we first spotted the app. Dates are when we saw each change.
Rating
3.9 ★
529k ratings, both stores
Measured
Best rank now
#66
App Store · 
Games › Role Playing Free
Games › Role Playing FreeMeasured
New ratings a week
32
▼ -6% vs the 2 weeks before
Measured
Operate Now: Hospital at a glance
AI summary written from our chart and store data. It can be wrong: check the numbers above.
Simulation Management Cartoon 3D Modern medium sessions IAP Ads
#hospital #surgery #tycoon #management #casual #upgrade
App Store
App details
App ID
1136678102
Publisher
Key Games Network B.V.
Publisher country
Netherlands
On the store since
May 2017
9 years on the store
Minimum OS
iOS 15.0+
iPhone 6s and later
Devices
iPhone · iPad
Universal purchase · Game Center
Content rating
17+
2 content notes below
Languages
17
NL EN FR DE ID IT JA KR KO PL PT RU …
Size
1218 MB
Also listed in
Role-Playing, Simulation, Entertainment
Content notesFrequent/Intense Mature/Suggestive ThemesFrequent/Intense Medical/Treatment Information
Google Play
App details
App ID
com.spilgames.OperateNow2
Publisher
KeyGames Network B.V.
Publisher country
Netherlands
Content rating
Everyone 10+
Operate Now: Hospital downloads & installs
Both stores, worldwide. Bands are open; exact numbers are free with an account.
| Store | Downloads / day | Lifetime installs |
|---|---|---|
| App Store | – | 10M+ |
| Google Play | – | 50M+ Measured |
| Total | – | 50M+ Confidence |
How this is calculated
App Store: chart positions and rating growth per country, anchored on its own Android downloads; lifetime from ratings worldwide × installs per rating. Google Play: the daily change in its exact install count. The total adds every store.
Where Operate Now: Hospital's downloads come from Modelled
Last 30 days: organic search, browsing the store, features and paid ads.
Active users
All platforms, worldwide. Free with an account.
Stickiness (DAU / MAU)
how many monthly users open it on a given day
Retention · share of new users still active
Day 1
Day 7
Day 30
Time spent · per daily user
Average time spent Pro
min a day
Sessions a day Pro
Time per session Pro
min
How this is calculated
Monthly users come from lifetime installs across every store, fitted on monthly active user figures companies publish; daily users = monthly × the typical daily/monthly ratio for the category. Confidence is the chance the real number is within half to double ours.
In-app revenue
Worldwide, what users spend before Apple and Google take their fee.
| Store | Per day | Per month | Share |
|---|---|---|---|
| App Store | |||
| Google Play | |||
| Total | Confidence | 100% |
Business model: Ad-led
How Operate Now: Hospital makes money: subscriptions, one-off purchases and ads.
In-app purchasesAds · 40 ad networks
One-off purchases
/mo
of revenue
Ads
/mo
of revenue
Top in-app purchases · App Store US, most popular first
| 1 | Golden Hearts Purse | |
| 2 | Golden Hearts Box | |
| 3 | Golden Heart Case | |
| 4 | Starter Pack | |
| 5 | Limited Deal | |
| 6 | Golden Hearts Bag | |
| 7 | Special Super Deal | |
| 8 | Limited Deal | |
| 9 | Exclusive Deal | |
| 10 | Limited Deal |
Where it ranks now
Both stores, across every country we track.
| Store | Best rank | Charting in | US Top Free | US Top Grossing |
|---|---|---|---|---|
| App Store | #66 Games › Role Playing Free | 7 of 30 countries | #182 | – |
| Google Play | – | 0 of 23 countries | – | – |
Full chart lists: App Store · Google Play.
Review momentum
ⓘ How we measure thisNew ratings a week
32
▼ -6% vs the 2 weeks before
Lifetime rating
4.4★
recent stars not readable yet: new ratings are a tiny share of the total
Review momentum
70/100
faster than 85% of Games apps
Growing fastest in Brazil ▲ +167% · 
France ▲ +29%
New ratings by country (6)
| Country | New ratings a week | Share | Last 2 weeks vs the 2 before |
|---|---|---|---|
 United States | 17 | 57% | ▼ -43% |
| Brazil | 5 | 17% | ▲ +167% |
| France | 3.5 | 12% | ▲ +29% |
 Germany | 1.5 | 5% | – |
 Canada | 1.4 | 5% | – |
 Russia | 1.2 | 4% | – |
App Store ratings in the countries we track, 4-week average.
Review momentum (0-100) blends how fast the app collects ratings compared with other apps in its category (60%), whether that pace is speeding up (25%) and what recent raters give it (15%; recent stars well below lifetime pull it down). Ratings counts are read daily. A jump usually means a launch, a feature, ads or a new review prompt.
Ratings
Both stores. Store data, measured.
| Store | Rating | Ratings |
|---|---|---|
| App Store | 4.4 ★ | 17k |
| Google Play | 3.9 ★ | 513k 15k written reviews |
| Both stores | 3.9 ★ weighted by ratings | 529k |
About Operate Now: Hospital
Become a surgeon and build your own hospital.
Have you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?
- BUILD, upgrade, and continually improve multiple hospitals and their facilities.
- CUSTOMIZE your hospital with unique and crazy skins.
- MANAGE your staff and improve their skills.
- OPERATE your patients by performing incredibly realistic surgeries.
- COLLECT staff members cards & boosters.
- COMPLETE characters backstories and unravel their hidden past.
Join Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.
Have you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?
- BUILD, upgrade, and continually improve multiple hospitals and their facilities.
- CUSTOMIZE your hospital with unique and crazy skins.
- MANAGE your staff and improve their skills.
- OPERATE your patients by performing incredibly realistic surgeries.
- COLLECT staff members cards & boosters.
- COMPLETE characters backstories and unravel their hidden past.
Join Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.
Operate Now: Hospital App Store
Operate Now: Hospital is #182 in Games › Role Playing Free in United States and charting in 7 of 30 countries we track.
Updated 8 Nov 2026 · rankings refresh through the day
DeveloperSPIL GAMES
CategoryGames
PriceFree
Released
Rating★ 4.4 (17k)
Version1.58.20
Age rating17+
First seen by us 24 Sep 2026
24 Sep 2026Installs (est.)10M+ worldwide
Rating
4.4 ★
17k ratings
Measured
Best rank now
#182
Games › Role Playing FreeMeasured
New ratings a week
32
▼ -6% vs the 2 weeks before
Measured
Operate Now: Hospital at a glance
AI summary written from our chart and store data. It can be wrong: check the numbers above.
Simulation Management Cartoon 3D Modern medium sessions IAP Ads
#hospital #surgery #tycoon #management #casual #upgrade
Operate Now: Hospital on the App Store
App details
App ID
1136678102
Publisher
Key Games Network B.V.
Publisher country
Netherlands
On the store since
May 2017
9 years on the store
Minimum OS
iOS 15.0+
iPhone 6s and later
Devices
iPhone · iPad
Universal purchase · Game Center
Content rating
17+
2 content notes below
Languages
17
NL EN FR DE ID IT JA KR KO PL PT RU …
Size
1218 MB
Also listed in
Role-Playing, Simulation, Entertainment
Content notesFrequent/Intense Mature/Suggestive ThemesFrequent/Intense Medical/Treatment Information
Operate Now: Hospital downloads
Worldwide, per day, and installs to date. The band is open; the exact number is free with an account.
How this is calculated
Apple publishes no download counts. App Store downloads come from chart positions and daily rating growth per country, calibrated on Google Play install counts; lifetime installs from ratings worldwide × installs per rating. Confidence is the chance the real number is within half to double ours.
Where Operate Now: Hospital's downloads come from Modelled
Last 30 days: organic search, browsing the store, features and paid ads.
Active users
All platforms, worldwide. Free with an account.
Stickiness (DAU / MAU)
how many monthly users open it on a given day
Retention · share of new users still active
Day 1
Day 7
Day 30
Time spent · per daily user
Average time spent Pro
min a day
Sessions a day Pro
Time per session Pro
min
How this is calculated
Monthly users come from lifetime installs across every store, fitted on monthly active user figures companies publish; daily users = monthly × the typical daily/monthly ratio for the category. Confidence is the chance the real number is within half to double ours.
In-app revenue
Worldwide, what users spend in Operate Now: Hospital before Apple and Google take their fee.
How this is calculated
Not on any Top Grossing chart: monthly active users × spend per user for its category, measured on the charted apps nearest the bottom of the charts.
Business model: Ad-led
How Operate Now: Hospital makes money: subscriptions, one-off purchases and ads.
In-app purchasesAds · 40 ad networks
One-off purchases
/mo
of revenue
Ads
/mo
of revenue
Top in-app purchases · App Store US, most popular first
| 1 | Golden Hearts Purse | |
| 2 | Golden Hearts Box | |
| 3 | Golden Heart Case | |
| 4 | Starter Pack | |
| 5 | Limited Deal | |
| 6 | Golden Hearts Bag | |
| 7 | Special Super Deal | |
| 8 | Limited Deal | |
| 9 | Exclusive Deal | |
| 10 | Limited Deal |
Where it ranks now
Every top chart it appears in across 30 countries.
| Country | Charts | Rank |
|---|---|---|
| United States | Games › Role PlayingFree | #182 |
| Germany | Games › Role PlayingFree | #103 |
| Brazil | Games › Role PlayingFree | #66 |
| France | Games › Role PlayingFree | #95 |
 Italy | Games › Role PlayingFree | #68 |
 Australia | Games › Role PlayingFree | #173 |
| Brazil | Games › SimulationFree | #197 |
 Indonesia | Games › Role PlayingFree | #131 |
Apps near Operate Now: Hospital on the chart
Games › Role Playing Free, around #182.
Ratings
App Store, worldwide.
Rating
4.4 ★
17k ratings
Measured
Ratings
17k
Measured
Review momentum
ⓘ How we measure thisNew ratings a week
32
▼ -6% vs the 2 weeks before
Lifetime rating
4.4★
recent stars not readable yet: new ratings are a tiny share of the total
Review momentum
70/100
faster than 85% of Games apps
Growing fastest in Brazil ▲ +167% · France ▲ +29%
New ratings by country (6)
| Country | New ratings a week | Share | Last 2 weeks vs the 2 before |
|---|---|---|---|
| United States | 17 | 57% | ▼ -43% |
| Brazil | 5 | 17% | ▲ +167% |
| France | 3.5 | 12% | ▲ +29% |
| Germany | 1.5 | 5% | – |
| Canada | 1.4 | 5% | – |
| Russia | 1.2 | 4% | – |
App Store ratings in the countries we track, 4-week average.
Review momentum (0-100) blends how fast the app collects ratings compared with other apps in its category (60%), whether that pace is speeding up (25%) and what recent raters give it (15%; recent stars well below lifetime pull it down). Ratings counts are read daily. A jump usually means a launch, a feature, ads or a new review prompt.
About Operate Now: Hospital
Become a surgeon and build your own hospital.
Have you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?
- BUILD, upgrade, and continually improve multiple hospitals and their facilities.
- CUSTOMIZE your hospital with unique and crazy skins.
- MANAGE your staff and improve their skills.
- OPERATE your patients by performing incredibly realistic surgeries.
- COLLECT staff members cards & boosters.
- COMPLETE characters backstories and unravel their hidden past.
Join Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.
Have you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?
- BUILD, upgrade, and continually improve multiple hospitals and their facilities.
- CUSTOMIZE your hospital with unique and crazy skins.
- MANAGE your staff and improve their skills.
- OPERATE your patients by performing incredibly realistic surgeries.
- COLLECT staff members cards & boosters.
- COMPLETE characters backstories and unravel their hidden past.
Join Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.
Latest updates
1.58.20
- Various performance improvements
- SDK updated
More from SPIL GAMES
Operate Now Hospital - Surgery Android
Not in a tracked Google Play top chart right now.
Updated 8 Nov 2026 · rankings refresh through the day
DeveloperAzerion Casual
CategoryGames › Role Playing
PriceFree
Released
Installs50M+
Rating★ 3.9 (513k)
Updated
Content ratingEveryone 10+
Rating
3.9 ★
513k ratings
Measured
Operate Now Hospital - Surgery on Google Play
App details
App ID
com.spilgames.OperateNow2
Publisher
KeyGames Network B.V.
Publisher country
Netherlands
Content rating
Everyone 10+
Operate Now Hospital - Surgery downloads
Worldwide, per day, and installs to date. The band is open; the exact number is free with an account.
How this is calculated
Google Play shows an exact lifetime install count; downloads per day are its daily change (measured). When Play hasn't refreshed the count, they come from new ratings and Top Free chart positions. Confidence is the chance the real number is within half to double ours.
Where Operate Now Hospital - Surgery's downloads come from Modelled
Last 30 days: organic search, browsing the store, features and paid ads.
Active users
All platforms, worldwide. Free with an account.
Stickiness (DAU / MAU)
how many monthly users open it on a given day
How this is calculated
Monthly users come from lifetime installs across every store, fitted on monthly active user figures companies publish; daily users = monthly × the typical daily/monthly ratio for the category. Confidence is the chance the real number is within half to double ours.
In-app revenue
Worldwide, what users spend in Operate Now Hospital - Surgery before Apple and Google take their fee.
How this is calculated
Not on any Top Grossing chart: monthly active users × spend per user for its category, measured on the charted apps nearest the bottom of the charts.
Business model: Ad-led
How Operate Now Hospital - Surgery makes money: subscriptions, one-off purchases and ads.
In-app purchasesAds · 40 ad networks
One-off purchases
/mo
of revenue
Ads
/mo
of revenue
Top in-app purchases · App Store US, most popular first
| 1 | Golden Hearts Purse | |
| 2 | Golden Hearts Box | |
| 3 | Golden Heart Case | |
| 4 | Starter Pack | |
| 5 | Limited Deal | |
| 6 | Golden Hearts Bag | |
| 7 | Special Super Deal | |
| 8 | Limited Deal | |
| 9 | Exclusive Deal | |
| 10 | Limited Deal |
Where it ranks on Google Play
Every top 200 chart it appears in across 23 countries.
| Country | Charts | Rank |
|---|---|---|
| Not in a Google Play top chart right now. | ||
Ratings
Google Play, worldwide.
Rating
3.9 ★
513k ratings
Measured
Ratings
513k
Measured
Written reviews
15k
Measured
About Operate Now Hospital - Surgery
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! You’re needed at the hospital, on the double! Your dedicated medical team is depending on you to manage them, improve their facilities, and even perform important surgeries that could determine whether a patient lives or dies!
These are just a few of the thrilling things you’ll get to experience in Operate Now: Hospital, which has been downloaded over 20 million times by players all around the globe. They love the intense surgeries and exciting melodramas that have helped make it one of the most realistic and popular medical simulation games of all time. Are you ready to take on all the challenges that are waiting for you while you attempt to build a world-renowned medical center?
HERE’S THE FEATURES, DOCTOR !
★ Build, upgrade, and continually improve multiple hospitals and their facilities.
★ Fan of surgery ? Operate your patients!
★ Monitor your staff, hospitals, and more on the world map.
★ Help your patients by performing incredibly realistic surgeries.
★ Exchange duplicate staff members with the new CV feature.
★ Keep your progress up-to-date with the new Facebook save feature.
★ Speed things up with the builder, a useful tool that will kick your construction projects into overdrive.
BUILD YOUR DREAM HOSPITAL
Ready to create your own clinic? Building and managing several hospitals isn’t easy. You’ll need to be a like a tycoon to construct and oversee vital departments like emergency rooms, intensive care units, and many more. You’ll also have to hire talented staff like skilled surgeons in order to help your patients and create a truly impressive medical center in the process.
PERFORM REALISTIC SURGERIES
Even if you can’t tell the difference between a bone fracture and a tracheostomy, you’ll definitely enjoy Operate Now: Hospital’s realistic surgery engine. In this game, you not only manage hospitals, you work as a surgeon in them as well. You’ll get to fix broken bones, help people injured during disasters, and much more. Manipulate surgical tools to cure patients. You’ll need steady hands to make flawless incisions while you carefully operate on your patients. So it’s time to throw on your scrubs and head down to the ER! What about doing some surgery now?
EXPERIENCE BREATHTAKING DRAMAS
Operate Now: Hospital features dramatic storylines much like the ones in your favorite medical show on TV. You’ll get to work alongside staff members like Dr. Amy Clarke and learn more about their crazy lives both in the hospitals and outside them. You’ll get to experience lots of drama firsthand in Seasons 1 and 2 while you learn more about all the intrigue surrounding the hospitals, their patients, and their staff as well.
Just like in
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! You’re needed at the hospital, on the double! Your dedicated medical team is depending on you to manage them, improve their facilities, and even perform important surgeries that could determine whether a patient lives or dies!
These are just a few of the thrilling things you’ll get to experience in Operate Now: Hospital, which has been downloaded over 20 million times by players all around the globe. They love the intense surgeries and exciting melodramas that have helped make it one of the most realistic and popular medical simulation games of all time. Are you ready to take on all the challenges that are waiting for you while you attempt to build a world-renowned medical center?
HERE’S THE FEATURES, DOCTOR !
★ Build, upgrade, and continually improve multiple hospitals and their facilities.
★ Fan of surgery ? Operate your patients!
★ Monitor your staff, hospitals, and more on the world map.
★ Help your patients by performing incredibly realistic surgeries.
★ Exchange duplicate staff members with the new CV feature.
★ Keep your progress up-to-date with the new Facebook save feature.
★ Speed things up with the builder, a useful tool that will kick your construction projects into overdrive.
BUILD YOUR DREAM HOSPITAL
Ready to create your own clinic? Building and managing several hospitals isn’t easy. You’ll need to be a like a tycoon to construct and oversee vital departments like emergency rooms, intensive care units, and many more. You’ll also have to hire talented staff like skilled surgeons in order to help your patients and create a truly impressive medical center in the process.
PERFORM REALISTIC SURGERIES
Even if you can’t tell the difference between a bone fracture and a tracheostomy, you’ll definitely enjoy Operate Now: Hospital’s realistic surgery engine. In this game, you not only manage hospitals, you work as a surgeon in them as well. You’ll get to fix broken bones, help people injured during disasters, and much more. Manipulate surgical tools to cure patients. You’ll need steady hands to make flawless incisions while you carefully operate on your patients. So it’s time to throw on your scrubs and head down to the ER! What about doing some surgery now?
EXPERIENCE BREATHTAKING DRAMAS
Operate Now: Hospital features dramatic storylines much like the ones in your favorite medical show on TV. You’ll get to work alongside staff members like Dr. Amy Clarke and learn more about their crazy lives both in the hospitals and outside them. You’ll get to experience lots of drama firsthand in Seasons 1 and 2 while you learn more about all the intrigue surrounding the hospitals, their patients, and their staff as well.
Just like in
What's new in 1.58.20
Library updates and bug fixes