Based on the user reviews, here are three cons and three pros, with 15 words or less for each: **Cons:** 1. **In-app purchases forceful**: Many users feel pressured to spend money on in-game currency and items. 2. **Graphics and sound poor**: Some users find the graphics and sound effects lacking in quality and polish. 3. **Bugs and crashes common**: Several users experience frequent crashes and bugs, disrupting gameplay. **Pros:** 1. **Addictive and engaging gameplay**: Users praise the app's ability to keep them entertained and hooked for hours. 2. **Realistic medical simulation**: Reviewers appreciate the app's attention to detail and realistic portrayal of medical procedures. 3. **Improving with updates**: Many users appreciate the developer's efforts to address issues and improve the app with regular updates.