By Surgeon-Laureate Mako “Redhand,” 4th Chair of the Pearlwright Collegium
Issued Under Collegium Seal, 7th Revision
The purpose of this protocol is to provide a universal method for safe (or as safe as possible) pearl implantation. While each doctor will find their own rhythm, deviation from this protocol is the leading cause of patient death in the field.
Pearls kill. Protocol saves. Follow it.
Minimum team for safe implantation:
1 Lead Surgeon (trained in ligament-slot access)
1 Pearlwright (trained in resonance alignment and stress-weaving)
1 Surgical Assistant (instrument control / bleeding management)
For Large or Giant implants:
+1 additional surgeon
+1 additional pearlwright
A trauma stabilizer (doctor or combat medic) on standby
A full resonant-mesh operating table
No fewer than six buckets of cooled saline
For a Giant Pearl:
If you do not have two surgeons and two pearlwrights, do not attempt the procedure.
24 hours fasting
Full bowel purge (lower resonance interference)
Stabilizing draught: willow-seed extract + diluted pearl dust
Optional: sedation via sea-narcotic vapor; avoid for cranial work
Performed exclusively by the pearlwright.
Clean pearl with isotonic seawater
Trace its resonance signature
Map stress channels onto surgical slate
Confirm slot requirement matches surgical plan
Pearls that hum at >40 decibels should be rejected—they indicate unstable resonance.
Illuminate with steady, warm light (cold light fractures pearls)
Surround table with four stabilizer runes (triangle formation + root)
Prepare ligature clamps, tendon hooks, resonance wire, and bone pins
Ensure cooling bath is within arm’s reach
The surgeon must access the specific ligament cluster:
Infraclavicular, medial bicep, proximal forearm, dorsal wrist
Carefully separate fascia—do not cut ligaments
Inguinal ridge, knee capsule, shin interosseous membrane, talocrural plate
Expect arterial pulsation—avoid deep posterior cut
Substernal, subcostal, thoracolumbar, solar plexus
Extreme risk: diaphragm tears easily
TMJ hinge, sphenobasilar base, occipital plate, orbital nexus
Do not attempt without pearlwright present and alert
Once exposed, each slot must be flushed with lukewarm saline to remove micro-tears and prevent early resonance rejection.
The pearlwright now enters the operation.
Insert a resonance filament into the exposed slot.
Connect to pearlwright’s tuning fork (never allow surgeons to tune pearls).
Observe color shifts in filament:
Blue/Green — Stable
Yellow — Partial match
Orange/Red — Rejecting resonance
All slots designated to share load must resonate within two wavelengths
If a slot mismatch occurs, STOP—remap before implantation
Forced alignment kills more patients than infection or bleeding combined
Cranial mismatches cause seizures within seconds
The surgeon opens the ligament cradle with tendon hooks.
The pearlwright stabilizes the pearl’s hum.
Hold pearl with both hands (gloves reduce resonance sensitivity)
Rotate clockwise with gentle pressure
Stop when you feel the “catch” — the ligament cradling the pearl’s equator
Never force the pearl deeper than the cradle permits.
Bruised ligaments cannot redistribute resonance and will rupture later.
Attach three resonance wires: top, side, and anchor point
Use bone pins for torso and leg implants
Apply cooling saline until hum stabilizes
Place a silk resonance mesh over the insertion point
Performed by the pearlwright.
This is the most delicate step.
Thread resonance filaments between ligament slot and pearl
Twist filaments clockwise, binding to the pearl’s signature
Link secondary clusters if implant requires multiple slots (Large or Giant)
Maintain a smooth hum—spikes indicate cascading failure
Distribute load evenly
Ensure no filament crosses the patient’s central nerve lines
Confirm every cluster shares identical resonance wavelength
Every filament from all 16 slots must be connected
Torso must act as the central anchor
Expect the patient’s heartbeat to shift rhythm—this is normal
If resonance turns red, abort immediately and cool for 30 seconds
The pearlwright’s skill determines whether the patient survives this stage.
Surgeon secures ligaments with reinforced sutures
Anchor points must be triple-tied
Resonance wire trimmed (never cut flush; it must breathe)
Apply pearl-cooling gel to prevent early overreaction
Use layered suturing
Never seal fascia completely; leave micro-gaps for resonance dispersal
Apply sealant strips infused with powdered kelp-honey
Have the pearlwright gently tap the pearl through the skin.
Expected responses:
Soft hum — Stable
Sharp vibration — Misalignment; reopen immediately
Heat spike — Pearl is rejecting the host
Patient must remain prone
No bright light or cold exposure
Infuse with warm saline + diluted sea-pearl tonic
First resonance check
Clean incision channels (do not disturb mesh)
Begin micro-movements to prevent ligament stiffening
Pearlwright performs resonance retuning
Surgeon checks for inflammation or tearing
Patient begins physiotherapy
Patient may begin controlled use of the pearl
If pain persists, remove pearl before it becomes permanently integrated
If all checks are passed, the pearl is considered fully bonded.
Immediate loss of slot
Apply cold saline, reopen, reanchor
If in the head: prepare for the worst
Caused by filament misalignment
Charred tissue must be excised
Pearl must be cooled immediately
Reattempt weaving only once
Full-body tremors
Violet discoloration of veins
Remove pearl in under 3 minutes or patient dies
Hallucinations, seizures
Stop resonance input
Drain pressure through sphenobasilar valve
“If you cannot perform the procedure calmly, do not perform it at all.
The pearl listens to your hands.
The body listens to the pearl.
And death listens to both.”