Massachusetts Surgical Journal

Massachusetts Surgical Journal is a perk magazine in Fallout 4 that gives the player character ranks of the Massachusetts Surgery perk.

Gameplay
Reading Massachusetts Surgical Journal grants the Massachusetts Surgery perk for each issue read. There are nine issues in total. The Massachusetts Surgery perk makes any weapon inflict +2% limb damage, stacking for each issue read.

Behind the scenes
The in game art of issue #8 depicts the man within the cryo-pod as wearing a blue shirt, while The Art of Fallout 4 book depicts him wearing a vault suit.