Here is a concise summary of the provided transcript:
**Title:** Surgeon Simulator 2 Gameplay with Friends
**Summary:**
* A group of friends play Surgeon Simulator 2, aiming to be the "worst doctors in the world".
* The gameplay is chaotic, with players causing more harm than good to the patient, "Bob".
* Actions include:
+ Accidentally chopping off limbs
+ Attempting to "fix" Bob with unconventional methods (e.g., using a tomahawk, inserting objects)
+ Replacing arms with legs
+ Losing track of Bob's body parts
* Despite the mayhem, the friends have a lighthearted, humorous approach to the game.
* The video ends with an invitation to like and subscribe for more content.
Here are the key facts extracted from the text, excluding opinions and kept as short sentences with numbers:
1. **Game Context**: The text is from a gameplay session of "Surgeon Simulator 2".
2. **Player Count**: There are multiple players (at least 4) in the gameplay session.
3.. **Objective**: The players aim to perform surgery, but with a comedic, non-serious approach.
4. **Initial Action**: The players start by attempting to fix a patient's heart.
5. **Tool Usage**: Various unconventional tools are used, including a tomahawk and a knife.
6. **Patient's Condition**: The patient's condition rapidly deteriorates due to the players' actions.
7. **Confetti System**: There's a "confetti" system mentioned, with the patient initially having 73 confetti.
8. **Modification of Patient**: Players remove and replace the patient's limbs, including swapping arms with legs.
9. **Permission for Actions**: Players jokingly seek and grant "permission" for extreme modifications.
10. **Outcome**: The patient is heavily modified, with the session ending in a comedic, chaotic state.
11. **Call to Action**: Viewers are encouraged to like and subscribe for more content at the end of the session.
12. **Previous Content Mention**: The video may have been previously posted on "Meme God's channel".