Don’t expect lifelike realism from Trauma Center: SO. Sure there’s a bit of blood, but it’s represented as a red, cloudy substance. Basically you’ll see the major organ you’re working on set against a foggy background. All the wet and messy stuff you’d expect to see inside the human body is toned down and simplified. It may be all the better for the squeamish out there.
During the story scenes, you’ll see similar anime-style characters to those that were in the DS version of this game. They aren’t animated, but they do change expressions to go along with the text. I found this to be acceptable, but it doesn’t serve to help the Wii’s reputation as the visually underpowered system in the next-gen war.
Trauma Center: SO also has small voice snippets like the DS version had. These are things like the nurse cautioning you by saying, “careful” or chiding you with a concerned “Doctor!” They’re actually well done, and help maintain the atmosphere of an operating room, albeit a very dramatic one. One very good thing is that they aren’t repetitive enough to get annoying.
The music is surprisingly one of Trauma Center: SO’s high notes. You’ll probably be repeating some surgeries many times before you beat them, but the music doesn’t become bothersome. I especially like the piano theme during episode selection. I even look forward to the dramatic “something really bad has happened” music (you’ll know it when you hear it). It makes me want to scrub up and pick up the Wii controls like the surgeon I’m trying to be.