PST VR (Primary Surgical Treatment) is a free, Early Access VR simulation by Adelante LTD, released on Steam in April 2020. It places users in a virtual operating theatre to practice the treatment of a wound using surgical instruments, with training and test modes, step-by-step guided procedure, soft-body physics for the wound tissue, and real-time feedback on performance.

The concept is genuinely interesting: a free surgical procedure VR trainer with haptic-style feedback (via motion controllers) could fill a gap for medical or vocational health students who want a first encounter with procedure before any physical practice. The execution, however, is fatally undermined by the development status: this is an Early Access project that has not received a developer update in over five years.

The existing page on this site describes the app as featuring haptic feedback, laparoscopy, arthroscopy, skin grafts, breast biopsies, vasectomies, and customisable scenarios. None of these features are mentioned on the actual Steam page. The Steam description covers only wound treatment — a single procedure. The discrepancy suggests the site page content was generated from speculation rather than direct experience of the app.

According to the actual Steam description and community discussions, PST VR focuses on a single type of procedure: primary surgical treatment of a wound. The workflow is:

Training mode guides users through wound assessment, instrument selection, wound preparation, suturing or stapling technique, and post-procedure dressing, with on-screen hints at each stage. Test mode removes the hints and assesses the user independently. Each procedural step is gated, so users must complete each one correctly before progressing. The models of surgical instruments are detailed, and soft-body physics simulate wound tissue behaviour.