The story is rife with melodrama that would not feel out of place on daytime soaps. Themes weave through suicide attempts, bio-terrorism, euthanasia, and inter-office canoodling. While the storyline itself feels current and topical, the delivery is quite dated. Static images accompany scrolling text like an RPG for the SNES. The pain of reading is exacerbated by the fact that the game is almost too chatty. Before each surgery there is dialogue with storyline development. There is also a longer dialogue scene between each surgery. This means that for each minute that is spent with a scalpel, two more are spent reading about it. Just give me something to suture already. Moreover, the themes are very dark, even with a T rating.
All of this obnoxious discussion and medical mystery magically disappears when the mission starts. The gameplay is (big surprise) the best part of the game. The mission will begin with a senior resident explaining the procedure to Stiles. It is important to pay attention, because they will not be helpful during the surgery, and Angie only seems to chime in when the good doctor makes a mistake.
The game uses both the remote and the nunchuck. The analog stick on the nunchuck is used to select the appropriate medical tool, such as a scalpel, syringe, or ultrasound. After grabbing the correct tool, the player simply points to the screen and uses it. With this simple control scheme players can master time-honored medical techniques such as the connect-the-dots cut and the zig-zag stitch. Believe me, nothing is more rewarding than pulling a shard of glass out of a man's heart and then using a needle and thread to clumsily stitch it shut.
The controls are very precise, which means that they precisely demonstrate how imprecise I am. Though the objectives such as connecting the dots are clearly laid out, my clumsy hand can't seem to complete them without mangling the patient. The worst mechanic in the game is the defibrillator. Every now and then, Angie decides that the only way to save a patient is to electrocute them. During these times, players must hold their wiimote and nunchuck like handles of a defibrillator and push them toward the screen. This simply does not work. I just ended up shaking the controllers back and forth, and hoping it would work.
The early stages feel very "medical": healing wounds, excising tumors, removing foreign objects. As the game progresses, however, the challenges begin to feel more arcade-like. A few puzzles, and abundant use of the laser to fight disease, make it clear that the designers ran short on "medical" ideas after a while.
The graphics are, thankfully, unrealistic. The characters are all hand-drawn in anime style. The bodies and vital organs are rendered in three dimensions in soft, muted tones. There is little to no blood, and nobody ever dies. If a player fails a mission, a senior doctor simply takes over. Overall the game looks very nice.
Despite the few downfalls, Trauma Center Second Opinion is absolutely a game worth playing. It provides a surprisingly developed story with fun game mechanics that offer a glimpse of what is possible on the Wii. Hopefully, this game will usher in a new generation of medical simulators.
Bottom line? Rent it before buying it.