The controls are horrendous, yes, but in a fabulous way. You use the mouse to move your arm around and to rotate the hand, while the keys A,W,E,R, and SPACE each control a specific finger. Even though it looks like you're holding a scalpel like a toddler with a crayon, it's still possible to be...kind of precise.
First, you are tasked with performing a heart transplant. Many tools are at your disposal, including a bone saw, scalpels, a...hammer, etc. Each time you cut the patient, they'll start losing blood. Get a little overzealous in your jabbing, and they'll starting losing it by the bucket. Once they're out of blood, they're dead. Goal: Give them a new heart before making them dead.
Step 1: Remove all those pesky organs and throw em on the floor. Liver? Bah. Who needs that?
Step 2: Grab the shiny, new transplant organ and drop it in the surgery hole.
Step 3: PROFIT
Following up the heart surgery is a double kidney transplant and a brain transplant. Once you have completed those, you'll have the option to perform all three surgeries again...except you'll do it while in an ambulance. Lucky for you, the ambulance driver is a spaz...or possibly on crack. Either way, expect lots of bumps, sharp turns, and cutty tools flying around your face, out the back of the ambulance, onto the floor, and into your patient. I actually managed to get an A++ rating on my double kidney transplant in the ambulance, completing it in 2 minutes 46 seconds. My biggest problem with that one prior was getting the kidneys out once they were loose. It makes life easier when the ambulance hits a bump and throws the kidneys out for you. Swish.
Once you've completed these surgeries in the ambulance, you unlock those surgeries again, but this time you'll be in space. In space, all your tools are floating and plucking them out of the air is horrible. Most likely what will happen is you'll miss, the tool will start spinning, you'll freak out and try to grab it fast but instead you'll just smack the shit out of it, sending it flying and careening into other tools which will then spin and scatter, making life all that more difficult. I don't know why it's fun to perform these same three surgeries simply with different outside forces, but it was for me.
After those 9 official surgeries, there are 7 other secret ones. In one, you're a Team Fortress Medic performing an uber heart transplant on a Heavy. The other 6 are performed on an alien whilst on a spaceship. You'll be replacing its Pewdsball, Birgirspallex, Gobbleshaft, Cubed Trangrifier, Gavichal, or Robbaloraz.
Having completed all of these, I was dubbed Best Surgeon in the Universe. Aww yiss.
While this particular game turned out to be incredibly enjoyable and addictive, I think as genres go, "Horribad Controls" is probably not something that will or should take off. At least I hope not...
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