The game is fun, but when you need to get a locked item you have to pay $1.00. Also, it is very hard to earn coins, so you are stuck with dentistry and ambulance for a super long time. You never get to do birth or surgery. It would be better if you play small games to earn coins to play the other games like surgeon, and if you get enough points in the small game, you have a chance to win the locked item/items. Other than that the game is pretty fun.