How to Get and Use the Pal Surgery Table in Palworld

The Pal Surgery Table is the endgame answer to perfecting your team’s passive skills without relying entirely on breeding RNG. Instead of hatching hundreds of eggs hoping a Pal rolls the right combination of traits, you can directly install the passives you want, strip out the ones you don’t, and even swap a Pal’s gender for breeding compatibility. It is an expensive workstation to run, but it completely changes how you approach base workers and combat teams alike.

What the Pal Surgery Table does

Introduced in the Tides of Terraria update (v0.6.0), the Pal Surgery Table is a late-game workstation designed for direct passive skill manipulation. Its core function is to let you install, swap, or remove specific passive skills on your Pals using Implants, giving you control over traits that would otherwise require endless breeding cycles to achieve. Additional, the table allows you to change a Pal’s gender, which is invaluable for players trying to breed specific species pairs but keep rolling the wrong gender. All of these modifications come at a steep Gold Coin cost, making it a true late-game gold sink.

Unlocking and building the Pal Surgery Table

To unlock the Pal Surgery Table, you must reach Technology tier 36. The exact Technology Point cost is contested across early guides: some report it costs 2 Technology Points, while others claim it requires 3 Technology Points—this discrepancy may depend on your game version or patch. Once unlocked, you can build the table at your base. The most commonly cited material requirements are 30x Refined Ingot and 20x High Quality Cloth, though exact component numbers may have shifted across patches.

How to add, remove, or swap passives at the Pal Surgery Table

Select a Pal

Interact with the placed Pal Surgery Table and click on any Pal in your party to begin the operation.

Choose Transfer Passives

Select the Transfer Passives option to bring up the list of skills available for that Pal.

Pick an Implant

Choose an unlocked passive from your list, or unlock more by purchasing Implants from vendors, to see what it does.

Place in an open slot

If your Pal has an empty passive area, place the new skill there; otherwise, you will overwrite an existing one.

Remove a negative passive

Click directly on a negative passive you want to get rid of to mark it for removal.

Click Edit and pay the gold

Review the Gold Coin cost for the surgery, then click Edit to finalize the operation and pay the fee.

Video help

Implants, vendors, and Gold surgery fees

The Surgery Table runs on two currencies: Gold Coins for the actual surgical operation, and special vendor tokens to buy the Implants that unlock new passives. Implants are divided by tier, and each surgical operation costs Gold based on the Implant’s tier: Red (10,000 Gold), White (10,000 Gold), and Yellow (50,000 Gold). The Rainbow (Tier 4) skills are currently unavailable in the game.

Standard Implants like Ferocious, Nocturnal, Diet Lover, and Lucky are available by default. To expand your options, you need to visit specific NPCs. The Bounty Officer in the Small Settlement sells combat and worker passives for Bounty Tokens, while the Arena Vendor at the Pal Arena sells mobility and stamina passives for Battle Tickets.

Changing a Pal’s gender with the Pal Reverser

In addition to passive manipulation, the Surgery Table allows you to change a Pal’s gender. To do this, you need a special item called the Pal Reverser. Unlike Implants, which are reusable forever once purchased, the Pal Reverser is consumed upon use—meaning you will need a new one for every gender swap. The exact cost of the Reverser is disputed: some reports indicate it costs 7 Bounty Tokens, while others claim it costs 35 Battle Tickets.

Commonly mistakes and misconceptions

The most common mistake players make is assuming Implants are single-use consumables. Implants are reusable—once you buy them, they remain saved to your account for all future operations. Another frequent misunderstanding is expecting the table to transfer any passive in the game. In reality, only designated passives on the Implant list are transferable; species-unique traits and Partner skills cannot be copied or moved. Players also sometimes expect the table to alter a Pal’s elemental typing or active moves, but it strictly affects passive skills. Finally, many players underestimate the Gold cost—multiple operations in the 10,000 to 50,000 Gold range add up extremely fast, so make sure your coffers are full before you start remodeling your team.

Next steps for optimizing your Pals

Once your Pals have the right passives, your next focus should be farming the required currencies to expand your Implant collection. Grind Bounty Tokens through bounty hunts and Battle Tickets through the Pal Arena to purchase the high-end passives. For base optimization, stack worker passives like Artisan (+50% Work Speed) and Serious (+20% Work Speed) on your base Pals for maximum efficiency. Finally, seek out Little Kinship Peaches to increase your Pals’ Trust Levels, providing base stat buffs that perfectly complement your newly implanted skills.