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Palworld 1.0 Pal Surgery Table: how to unlock and use it?

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Palworld 1.0 Pal Surgery Table: how to unlock and use it?

Alexandre Jollier June 30, 2025 at 1:10 PM

In brief

The Pal Surgery Table is the standout mechanic of the Tides of Terraria update, letting you modify your Pals' passive skills and gender. Unlocked at level 36 with 3 Technology Points, it requires 30 Refined Ingots and 20 High Quality Cloth to build, but opens up massive customization possibilities by paying gold to buy or swap passives.

The Tides of Terraria update brought with it many features long awaited by Palworld players, including the famous Pal Surgery Table, allowing trainers to modify their Pals' passive skills, but also to change their gender. Let's take a look at how to properly unlock and use this new addition.

Palworld Surgery Table: Unlocking and Use

How to unlock the Pal Surgery Table

The Pal Surgery Table is the first step on the road to technological progress in Palworld. To use it, you must first make sure to apply 3 Technology Points in the right skill tree and reach level 36, but unlocking it is only the beginning. The table itself requires a large amount of advanced resources.

To craft the Pal Surgery Table, you'll need to gather 30 Refined Ingots and 20 High Quality Cloth, so it goes without saying that you'll necessarily need to first craft an Improved Furnace (unlocked at level 34) and unlock the High Quality Cloth technology (level 36; costing 2 Technology Points). In terms of raw resources, prepare to scrape the bottom of your pockets: you'll need 60 ores, 60 coals and 200 standard pieces of flax if you're starting from zero.

Tip

An interesting option for obtaining High Quality Cloth is to capture and put to work the skills of Sibelyx, capable of producing this precious good, more efficient than manual crafting if you have these Pals at your base.

Palworld Surgery Table: Unlocking and Use

Features and use of the Pal Surgery Table

Once built at your base, the Pal Surgery Table will open up the possibility of modifying your companions: the interface lets you modify any Pal in your collection to change its passive skills. First and foremost, the Pal Surgery Table's main function (among others) is to add, swap, or remove your Pals' passives. By selecting one of your Pals from the menu, you'll be able to click on any of its passive slots (occupied or empty) to open a list of available skills. Expect to pay between 10,000 and 50,000 coins to buy the skill of your choice for the selected slot, thus replacing the old passive.

Note

The monetary system, so important in this mechanic, allows access to more powerful skills by paying more for them.

But it's also the option to change a Pal's gender that could also appeal to players getting into breeding, having first purchased a special item offered by certain NPCs in the game. The Pal Surgery Table of course also complements the new fishing mechanics offered by the Tides of Terraria update, as fished Pals often have epic passives or Alpha traits, transferable to other members of your team via the Table.

To make the most of the Pal Surgery Table, don't hesitate to scour the world in search of special implants. These are divided into three categories, with the Artisan, Sturdy Body and Muscle Head implants available for purchase from the Vigilante Bounty Officers found in most NPC settlements. The Runner, Infinite Stamina and Serenity implants, meanwhile, can only be found at the Arena Merchant, south of the Desert Tower, in the eastern part of the map. Obtaining a single implant of each type permanently unlocks that passive in the Pal Surgery Table, which, in the long run, makes this investment well worth it.

This new Palworld feature is pretty handy, isn't it?

Palworld Surgery Table: Unlocking and Use

Do you think the resource and gold cost of the Surgery Table is really worth it?

Frequently asked questions

At what level can I unlock the Pal Surgery Table?

You need to reach level 36 and invest 3 Technology Points in the right skill tree. This is a non-negotiable prerequisite to access this feature.

How many resources are needed to craft the Surgery Table?

You'll need to gather 30 Refined Ingots, 20 High Quality Cloth, 60 ore, 60 coal, and 200 fiber. That's a lot, so get ready to seriously farm or use Sibelyx to produce cloth more efficiently.

What does it cost to modify a passive using the Table?

Between 10,000 and 50,000 gold depending on the quality and power of the passive you want to buy. The strongest passives obviously cost more.

How do I permanently obtain the special implants for the Table?

The Artisan, Robust Body, and Muscle Head implants can be bought from Vigilante Bounty Officers in settlements. Runner, Serenity, and Legend can be found at the Arena Merchant, south of the Desert Tower. Acquiring each type just once permanently unlocks the passive.

Can I really change my Pals' gender?

Yes, by buying a special item offered by certain NPCs in the game. This is especially useful if you're running a serious breeding program with your companions.

Key takeaways

Mandatory unlock at level 36 with 3 Technology Points in the skill tree.
Significant building costs: 30 Refined Ingots, 20 High Quality Cloth, 60 ore, 60 coal, and 200 fiber.
Modifying passives costs between 10,000 and 50,000 gold depending on the power of the chosen skill.
Special implants purchased from NPCs permanently unlock passives for all your Pals.
Also allows you to change your Pals' gender for breeding purposes.