Download sizes
Every version holds the same chapters, text, step lists and video. They differ only in the size of the chapter figures, so a site can choose the largest one its storage and connection allow. Measured from the build of 2026-10-14.
Choose a version
| Version | Kiwix file (ZIM) | Card or USB folder | Best for |
|---|---|---|---|
| Full figures (as published) | 73.0 MB | 77.2 MB | Laptops, projectors, teaching rooms; servers with room to spare |
| Standard figures (520 px) | 43.7 MB | 47.9 MB | Tablets and most Internet-in-a-Box or RACHEL servers |
| Lite figures (400 px) this copy | 27.3 MB | 31.5 MB | Phones, small cards, slow or paid-per-megabyte connections |
| Website (all figure sizes; each device downloads one) | – | 143.0 MB | Hosting online; the server needs every size |
Kiwix files are named by size, for example open-manual-of-surgery_mul_full_2026-10.zim, open-manual-of-surgery_mul_lite_2026-10.zim.
What makes up each version
| Part | Full | Standard | Lite |
|---|---|---|---|
| Chapter pages and text (all languages) | 6.2 MB | 6.2 MB | 6.2 MB |
| Chapter figures (1603) | 69.9 MB | 40.6 MB | 24.3 MB |
| Video 360p | 599 KB | 599 KB | 599 KB |
| Video 240p | 295 KB | 295 KB | 295 KB |
| Narration (all languages) | 112 KB | 112 KB | 112 KB |
| Still images | 47 KB | 47 KB | 47 KB |
| Styles and player | 13 KB | 13 KB | 13 KB |
| Total (card folder) | 77.2 MB | 47.9 MB | 31.5 MB |
The Kiwix file compresses text but not images or video, so it is slightly smaller than the folder. The website also stores subtitles separately and keeps every figure size.
When every step is filmed (estimate)
An estimate, not a measurement: only placeholder footage exists today. It assumes every drafted step is filmed at its planned length: 769 steps, 26.6 h.
| Part | Estimated size |
|---|---|
| Video 360p | 5.57 GB |
| Video 240p | 2.78 GB |
| Narration (all languages) (2 × 547.5 MB) | 1.07 GB |
| Kiwix file (ZIM) · Full | 9.50 GB |
| Kiwix file (ZIM) · Standard | 9.47 GB |
| Kiwix file (ZIM) · Lite | 9.45 GB |
| Kiwix file (ZIM) · Full · 240p video only | 3.93 GB |
| Kiwix file (ZIM) · Standard · 240p video only | 3.90 GB |
| Kiwix file (ZIM) · Lite · 240p video only | 3.88 GB |
Basis: planned shot durations x encoder target bitrates (v360 500k, v240 250k, narration 48k per language); estimate only.
By chapter
Text is one language's page. Video is 360p / 240p for the steps filmed so far. Open a section to see its chapters.
The Practice of Surgery 5 · 173 KB full · 132 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Conflict Management 1 figures | 23 KB | 65 KB | 39 KB | 24 KB | not filmed yet |
| Leadership of a Department of Surgery 0 figures | 14 KB | – | – | – | not filmed yet |
| Managing Complications Part 1: Yourself 0 figures | 25 KB | – | – | – | not filmed yet |
| Managing Complications Part 2: Patient and Family 0 figures | 17 KB | – | – | – | not filmed yet |
| Becoming a Leader During Training and Beyond 0 figures | 29 KB | – | – | – | not filmed yet |
Facilities Management 3 · 2.6 MB full · 1.0 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Sterilization and Disinfection 27 figures | 48 KB | 1.2 MB | 711 KB | 425 KB | not filmed yet |
| Operating Theater Design and Setup 17 figures | 43 KB | 718 KB | 396 KB | 243 KB | not filmed yet |
| Medical Vacuum (Suction) 17 figures | 17 KB | 607 KB | 385 KB | 253 KB | not filmed yet |
Anesthesia 4 · 2.1 MB full · 750 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Postoperative Pain Management 13 figures | 22 KB | 203 KB | 121 KB | 81 KB | not filmed yet |
| Airway Management and Endotracheal Intubation 28 figures, 7 steps | 38 KB | 1.1 MB | 583 KB | 346 KB | not filmed yet |
| Airway Management in Trauma 8 figures, 6 steps | 27 KB | 349 KB | 197 KB | 116 KB | not filmed yet |
| Anesthesia for Hepatic Resections 5 figures | 28 KB | 379 KB | 164 KB | 90 KB | not filmed yet |
Important Skills 7 · 6.3 MB full · 2.5 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Intestinal Anastomosis 28 figures, 9 steps | 28 KB | 1.1 MB | 601 KB | 353 KB | not filmed yet |
| Cutdown for Venous Access 11 figures, 9 steps | 24 KB | 1011 KB | 497 KB | 254 KB | not filmed yet |
| Insertion of Subclavian Central Venous Catheter 18 figures, 8 steps | 30 KB | 587 KB | 374 KB | 227 KB | not filmed yet |
| Tracheostomy 23 figures, 10 steps | 35 KB | 1.1 MB | 597 KB | 337 KB | not filmed yet |
| Cricothyroidotomy 11 figures, 9 steps | 26 KB | 368 KB | 205 KB | 121 KB | 599 KB / 295 KB |
| Rigid Upper Esophagoscopy 7 figures, 7 steps | 21 KB | 332 KB | 182 KB | 103 KB | not filmed yet |
| Ventriculostomy / External Ventricular Drainage 21 figures, 12 steps | 33 KB | 1.1 MB | 587 KB | 333 KB | not filmed yet |
Ultrasound 2 · 1.2 MB full · 511 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Introduction to Ultrasonography 18 figures, 6 steps | 25 KB | 645 KB | 375 KB | 229 KB | not filmed yet |
| Ultrasound-Guided Interventions 14 figures, 6 steps | 24 KB | 491 KB | 337 KB | 233 KB | not filmed yet |
Nutrition 3 · 2.3 MB full · 824 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Nutrition in the Surgical Patient 23 figures | 34 KB | 952 KB | 544 KB | 327 KB | not filmed yet |
| Stamm Gastrostomy Placement 13 figures, 10 steps | 28 KB | 671 KB | 349 KB | 195 KB | not filmed yet |
| Percutaneous Endoscopic Gastrostomy Placement 16 figures, 11 steps | 28 KB | 638 KB | 364 KB | 213 KB | not filmed yet |
Patient Positioning 4 · 2.9 MB full · 1022 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Approach to Positioning the Patient and the Surgeon 10 figures, 10 steps | 27 KB | 397 KB | 231 KB | 140 KB | not filmed yet |
| Supine Position 10 figures, 6 steps | 20 KB | 463 KB | 247 KB | 147 KB | not filmed yet |
| Lateral Decubitus Position 16 figures, 10 steps | 27 KB | 887 KB | 511 KB | 299 KB | not filmed yet |
| Prone Position 19 figures, 9 steps | 25 KB | 1.1 MB | 593 KB | 339 KB | not filmed yet |
Burns and Contractures 2 · 2.0 MB full · 857 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Initial Management of Acute Burns 35 figures, 4 steps | 41 KB | 1.1 MB | 743 KB | 468 KB | not filmed yet |
| Tangential Excision of Burns 20 figures, 10 steps | 36 KB | 793 KB | 512 KB | 312 KB | not filmed yet |
Operations For Trauma 5 · 4.0 MB full · 1.6 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Compartment Syndromes and Fasciotomy 30 figures, 11 steps | 49 KB | 1.2 MB | 725 KB | 439 KB | not filmed yet |
| Preperitoneal Packing and Iliac Artery Ligation for Pelvic Fracture 8 figures, 8 steps | 22 KB | 378 KB | 251 KB | 143 KB | not filmed yet |
| Sternotomy 23 figures, 12 steps | 35 KB | 1.2 MB | 716 KB | 447 KB | not filmed yet |
| Temporary Vascular Shunting 11 figures, 9 steps | 27 KB | 380 KB | 220 KB | 133 KB | not filmed yet |
| Trauma Laparotomy 13 figures, 13 steps | 39 KB | 752 KB | 468 KB | 280 KB | not filmed yet |
Abdominal Incisions 5 · 4.2 MB full · 1.4 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Approach to Abdominal Incisions 6 figures | 13 KB | 417 KB | 231 KB | 134 KB | not filmed yet |
| Midline Incision 24 figures, 13 steps | 35 KB | 1.3 MB | 724 KB | 415 KB | not filmed yet |
| Subcostal Incision 22 figures, 10 steps | 27 KB | 1.3 MB | 667 KB | 371 KB | not filmed yet |
| Anterolateral Retroperitoneal Incision 14 figures, 8 steps | 26 KB | 896 KB | 431 KB | 235 KB | not filmed yet |
| Pfannenstiel Incision 9 figures, 8 steps | 22 KB | 189 KB | 143 KB | 104 KB | not filmed yet |
Stomach and Duodenum 3 · 3.7 MB full · 1.3 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Partial "Wedge" Gastrectomy 15 figures, 9 steps | 23 KB | 1.0 MB | 567 KB | 330 KB | not filmed yet |
| Graham Patch Closure of Duodenal Ulcer 17 figures, 9 steps | 29 KB | 730 KB | 415 KB | 242 KB | not filmed yet |
| Antrectomy and Billroth 1 Reconstruction 32 figures, 13 steps | 48 KB | 1.9 MB | 1.0 MB | 611 KB | not filmed yet |
Small Intestine 1 · 1.4 MB full · 718 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Surgical Procedures for Severe Typhoid Fever 40 figures, 12 steps | 44 KB | 1.4 MB | 1023 KB | 673 KB | not filmed yet |
Spleen 1 · 738 KB full · 249 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Elective Splenectomy 13 figures, 10 steps | 28 KB | 710 KB | 382 KB | 221 KB | not filmed yet |
Pancreas 1 · 452 KB full · 153 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Pancreatic Cyst-Gastrostomy 6 figures, 8 steps | 26 KB | 426 KB | 224 KB | 127 KB | not filmed yet |
Liver 1 · 407 KB full · 118 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Anesthesia for Hepatic Resections 5 figures | 28 KB | 379 KB | 164 KB | 90 KB | not filmed yet |
Colon, Rectum, and Anus 3 · 2.0 MB full · 738 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Laparoscopic Right Colectomy 18 figures, 13 steps | 41 KB | 1.1 MB | 619 KB | 361 KB | not filmed yet |
| Transanal Resection of Rectal Tumors 7 figures, 8 steps | 23 KB | 343 KB | 211 KB | 137 KB | not filmed yet |
| Trans-Rectal Drainage of Pelvic Abscess 12 figures, 6 steps | 25 KB | 467 KB | 255 KB | 152 KB | not filmed yet |
Breast 2 · 1.7 MB full · 627 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Axillary Dissection 17 figures, 12 steps | 33 KB | 890 KB | 468 KB | 267 KB | not filmed yet |
| Mastectomy 20 figures, 10 steps | 31 KB | 772 KB | 502 KB | 297 KB | not filmed yet |
Thyroid 3 · 2.3 MB full · 848 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Total Thyroidectomy for Substernal Goiter 14 figures, 8 steps | 41 KB | 593 KB | 331 KB | 199 KB | not filmed yet |
| Total Thyroidectomy for Multinodular Goiter 17 figures, 10 steps | 29 KB | 883 KB | 515 KB | 300 KB | not filmed yet |
| Central Neck Dissection 12 figures, 7 steps | 35 KB | 728 KB | 415 KB | 244 KB | not filmed yet |
Urology 10 · 5.2 MB full · 2.2 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Trans-Vesical (Suprapubic) Prostatectomy 13 figures, 12 steps | 32 KB | 809 KB | 486 KB | 281 KB | not filmed yet |
| Orchidopexy and Orchiectomy for Testicular Torsion 22 figures, 8 steps | 31 KB | 838 KB | 625 KB | 392 KB | not filmed yet |
| Approach to Ureter Injuries 5 figures, 6 steps | 28 KB | 277 KB | 170 KB | 102 KB | not filmed yet |
| Ureteroneocystostomy 16 figures, 10 steps | 27 KB | 573 KB | 335 KB | 211 KB | not filmed yet |
| Pyeloplasty and Ureteroureterostomy 6 figures, 9 steps | 18 KB | 181 KB | 105 KB | 65 KB | not filmed yet |
| Endoscopic Placement of Ureteral Stents 13 figures, 9 steps | 21 KB | 266 KB | 162 KB | 101 KB | not filmed yet |
| Management of Priapism 15 figures, 9 steps | 28 KB | 387 KB | 260 KB | 173 KB | not filmed yet |
| Trans-Urethral Resection of Bladder Tumor 15 figures, 8 steps | 26 KB | 518 KB | 299 KB | 186 KB | not filmed yet |
| Trans-Urethral Resection of the Prostate 15 figures, 9 steps | 24 KB | 582 KB | 323 KB | 191 KB | not filmed yet |
| Penile Fracture 15 figures, 11 steps | 29 KB | 673 KB | 404 KB | 236 KB | not filmed yet |
Intra-Abdominal Complications 5 · 3.7 MB full · 1.4 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Recognizing Post-Operative Abdominal Sepsis 9 figures | 30 KB | 265 KB | 153 KB | 94 KB | not filmed yet |
| Temporary Abdominal Closure 7 figures, 7 steps | 25 KB | 472 KB | 246 KB | 140 KB | not filmed yet |
| Closure of Laparotomy Dehiscence 13 figures, 5 steps | 24 KB | 728 KB | 406 KB | 239 KB | not filmed yet |
| Open Abdomen and Enteric Fistula 36 figures, 9 steps | 51 KB | 1.7 MB | 1.0 MB | 616 KB | not filmed yet |
| Trans-Rectal Drainage of Pelvic Abscess 12 figures, 6 steps | 25 KB | 467 KB | 255 KB | 152 KB | not filmed yet |
Laparoscopy 3 · 3.5 MB full · 1.2 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Laparoscopic Right Colectomy 18 figures, 13 steps | 41 KB | 1.1 MB | 619 KB | 361 KB | not filmed yet |
| Principles of Laparoscopy 1: Trocar Positioning and Placement 29 figures, 11 steps | 38 KB | 1.3 MB | 753 KB | 428 KB | not filmed yet |
| Gas Insufflation-less Laparoscopic Surgery 25 figures, 11 steps | 46 KB | 895 KB | 529 KB | 326 KB | not filmed yet |
Ophthalmology 2 · 436 KB full · 177 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Approach to Corneal Trauma 7 figures | 15 KB | 246 KB | 143 KB | 90 KB | not filmed yet |
| Corneal Foreign Body Removal 6 figures, 5 steps | 15 KB | 160 KB | 95 KB | 57 KB | not filmed yet |
Initial Approach to the Trauma Patient 9 · 4.6 MB full · 2.2 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Mass Casualty 6 figures | 31 KB | 278 KB | 166 KB | 98 KB | not filmed yet |
| Airway Management in Trauma 8 figures, 6 steps | 27 KB | 349 KB | 197 KB | 116 KB | not filmed yet |
| Cricothyroidotomy 11 figures, 9 steps | 26 KB | 368 KB | 205 KB | 121 KB | 599 KB / 295 KB |
| Approach to Spinal Cord Injury 12 figures | 36 KB | 510 KB | 294 KB | 177 KB | not filmed yet |
| Approach to Penetrating Neck Trauma 10 figures, 7 steps | 30 KB | 392 KB | 214 KB | 127 KB | not filmed yet |
| Approach to Diaphragm Injuries 9 figures, 9 steps | 29 KB | 490 KB | 278 KB | 158 KB | not filmed yet |
| Approach to Penetrating Abdominal Trauma 6 figures, 6 steps | 34 KB | 247 KB | 142 KB | 82 KB | not filmed yet |
| Approach to Extremity Vascular Injury 6 figures, 4 steps | 29 KB | 186 KB | 106 KB | 64 KB | not filmed yet |
| Approach to Maxillofacial Trauma: Midface 34 figures | 35 KB | 1.0 MB | 626 KB | 401 KB | not filmed yet |
Cranial Trauma 5 · 4.0 MB full · 1.5 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Ventriculostomy / External Ventricular Drainage 21 figures, 12 steps | 33 KB | 1.1 MB | 587 KB | 333 KB | not filmed yet |
| Sonographic Assessment of Optic Nerve Sheath Diameter 4 figures, 4 steps | 14 KB | 125 KB | 87 KB | 65 KB | not filmed yet |
| Burrhole Craniostomy 13 figures, 9 steps | 26 KB | 694 KB | 384 KB | 227 KB | not filmed yet |
| Lateral Craniotomy 27 figures, 12 steps | 40 KB | 1.5 MB | 823 KB | 481 KB | not filmed yet |
| Elevation of Depressed Skull Fracture 16 figures, 10 steps | 45 KB | 573 KB | 431 KB | 303 KB | not filmed yet |
Gastrointestinal Hemorrhage 3 · 1.5 MB full · 593 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Approach to Upper Gastrointestinal Hemorrhage 6 figures, 3 steps | 25 KB | 273 KB | 154 KB | 95 KB | not filmed yet |
| Endoscopic Banding of Esophageal Varices 13 figures, 8 steps | 25 KB | 449 KB | 297 KB | 180 KB | not filmed yet |
| Gastroduodenotomy and Oversew Bleeding Duodenal Ulcer 14 figures, 9 steps | 26 KB | 756 KB | 414 KB | 242 KB | not filmed yet |
Incisional Hernia 2 · 768 KB full · 317 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Approach to Abdominal Incisional Hernias 6 figures | 18 KB | 320 KB | 227 KB | 133 KB | not filmed yet |
| Anterior Components Separation Repair of Ventral Incisional Hernias 8 figures, 10 steps | 26 KB | 404 KB | 240 KB | 140 KB | not filmed yet |
Vascular Surgery 3 · 3.5 MB full · 1.2 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Approach to Arteriovenous Fistula Creation 6 figures, 4 steps | 20 KB | 392 KB | 257 KB | 175 KB | not filmed yet |
| Brachial-Cephalic Arteriovenous Fistula Creation 54 figures, 14 steps | 52 KB | 3.0 MB | 1.7 MB | 970 KB | not filmed yet |
| Vascular Anastomosis (Coming Soon) 0 figures | 2 KB | – | – | – | not filmed yet |
Parathyroid 3 · 1.5 MB full · 650 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Approach to Parathyroid Disease 13 figures, 6 steps | 35 KB | 394 KB | 245 KB | 155 KB | not filmed yet |
| Single Gland Parathyroidectomy 10 figures, 8 steps | 24 KB | 467 KB | 304 KB | 188 KB | not filmed yet |
| Neck Exploration and Subtotal Parathyroidectomy 13 figures, 9 steps | 27 KB | 552 KB | 366 KB | 220 KB | not filmed yet |
Operative Management of Labor 3 · 1.9 MB full · 843 KB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Operative Vaginal Delivery 18 figures, 11 steps | 36 KB | 656 KB | 380 KB | 232 KB | not filmed yet |
| Cesarean Birth 14 figures, 7 steps | 34 KB | 410 KB | 266 KB | 183 KB | not filmed yet |
| Peripartum Hysterectomy 15 figures, 11 steps | 39 KB | 819 KB | 555 KB | 321 KB | not filmed yet |
Pediatric Surgery 6 · 3.6 MB full · 1.3 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Pediatric Inguinal Hernia Repair 8 figures, 7 steps | 17 KB | 610 KB | 349 KB | 189 KB | not filmed yet |
| Vascular Access: Femoral Venous Cutdown 14 figures, 8 steps | 22 KB | 658 KB | 348 KB | 198 KB | not filmed yet |
| Orchidopexy for Undescended Testis 19 figures, 12 steps | 30 KB | 1.1 MB | 593 KB | 328 KB | not filmed yet |
| Rectal Biopsy for Hirschsprung's Disease 6 figures, 9 steps | 19 KB | 310 KB | 195 KB | 112 KB | not filmed yet |
| Pneumatic Reduction of Intussusception 10 figures, 4 steps | 21 KB | 416 KB | 252 KB | 155 KB | not filmed yet |
| Divided Sigmoid Colostomy for Anorectal Malformation 12 figures, 9 steps | 25 KB | 425 KB | 287 KB | 182 KB | not filmed yet |
Wound Care 4 · 3.4 MB full · 1.4 MB lite
| Chapters | Text | Figures full | Figures standard | Figures lite | Video |
|---|---|---|---|---|---|
| Split Thickness Skin Grafting 31 figures, 8 steps | 35 KB | 1.6 MB | 867 KB | 491 KB | not filmed yet |
| Full Thickness Skin Grafting 12 figures, 9 steps | 24 KB | 614 KB | 338 KB | 200 KB | not filmed yet |
| Negative Pressure Dressing Application 11 figures, 7 steps | 20 KB | 391 KB | 215 KB | 128 KB | not filmed yet |
| Latissimus Dorsi Musculocutaneous Flap 51 figures, 10 steps | 47 KB | 789 KB | 674 KB | 440 KB | not filmed yet |