There’s a lot more to do in Palworld than just building a base and catching Pals. With the Tides of Terraria update, the game received several new mechanics and additions you can place in your base. From new aquatic Pals to a fishing system and even a full Terraria-themed dungeon, the update brings plenty of content.

One of the most useful additions is the Pal Surgery Table, which allows you to change a Pal’s passive skill or even its gender. If you want to optimize breeding or improve your Pals with the best passives, this guide will walk you through crafting and using the table.

How To Get The Pal Surgery Table

To craft the Pal Surgery Table, the first thing you need to do is reach level 36. Once you’ve done that, you can unlock its blueprint from the Technology Tree by spending three Technology Points. After that, you’ll need the following materials to build it:

Material	How To Get
30 Refined Ingot	To craft 30 Refined Ingot, you'll need a total of 60 Ore and 60 Coal. You can refine these at the Improved Furnace or higher-tier crafting stations. Ore can be mined from natural Ore Nodes or gathered more efficiently by building Ore Mining Sites at your base. Coal can also be found at specific locations in the wild or gathered endlessly with Coal Mining Sites at your base.
20 High Quality Cloth	To craft 20 High Quality Cloth, you’ll need 200 Wool. Use the High Quality Workbench to process the Wool. Alternatively, you can obtain High Quality Cloth by defeating Sibelyx. For Wool, you can hunt or capture Pals like Lamball, Sweepa, or Melpaca.

How To Use the Pal Surgery Table

Once crafted, interact with the Pal Surgery Table to open your party screen. Choose a Pal from your party to proceed. The surgery interface will then allow you to do two things:

• Transfer Passive
• Change Gender

How To Transfer Passives With The Pal Surgery Table

After selecting a Pal, click the plus icon on the interface to open the Passive Skill Selection window. Here, you must choose one of your Implant Modules.

• Implant Modules can be purchased from Bounty Officers using Bounty Tokens.
• One Bounty Officer is located at coordinates 74, -485 in Small Settlement.
• Each Implant Module costs 30 Bounty Tokens.

Implant Modules do not take up inventory space and can be reused infinitely. After selecting one of your Pal’s current passive skills, you can replace it using the Implant Module. Note that this procedure will cost 50,000 Gold.

How To Change Gender With The Pal Surgery Table

The other function of the Surgery Table is gender swapping, which is especially useful for optimizing breeding in the Breeding Farm. To do this, you will need a Pal Reverser.

• Like Implant Modules, Pal Reversers can be purchased from Bounty Officers.
• You can get one from the officer in Small Settlement at coordinates 74, -485.
• Each Pal Reverser costs seven Bounty Tokens.

With the Surgery Table, you can change your Pal’s gender from male to female or vice versa. This process does not cost Gold, but the Pal Reverser is consumed upon use. You'll need to buy a new one for each additional gender change.

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