diff --git a/code/__HELPERS/unsorted.dm b/code/__HELPERS/unsorted.dm
index e6917bc8830..7a7213b12bf 100644
--- a/code/__HELPERS/unsorted.dm
+++ b/code/__HELPERS/unsorted.dm
@@ -534,6 +534,17 @@ Turf and target are seperate in case you want to teleport some distance from a t
 		loc = loc.loc
 	return loc
 
+/*
+Returns 1 if the chain up to the area contains the given typepath
+0 otherwise
+*/
+/atom/proc/is_found_within(var/typepath)
+	var/atom/A = src
+	while(A.loc)
+		if(istype(A.loc, typepath))
+			return 1
+		A = A.loc
+	return 0
 
 // the on-close client verb
 // called when a browser popup window is closed after registering with proc/onclose()
diff --git a/code/modules/organs/organ.dm b/code/modules/organs/organ.dm
index c3abfec87d7..10ca0ae1fbf 100644
--- a/code/modules/organs/organ.dm
+++ b/code/modules/organs/organ.dm
@@ -23,6 +23,8 @@ var/list/organ_cache = list()
 	germ_level = 0
 	var/datum/dna/dna
 	var/datum/species/species
+	var/needs_preservation_update = 1
+	var/is_in_freezer = 0
 
 /obj/item/organ/Destroy()
 	if(!owner)
@@ -106,7 +108,6 @@ var/list/organ_cache = list()
 	if(status & ORGAN_DEAD)
 		return
 
-	// Don't process if we're in a freezer, an MMI or a stasis bag. //TODO: ambient temperature?
 	if(is_preserved())
 		return
 
@@ -121,8 +122,11 @@ var/list/organ_cache = list()
 			if(B && prob(40))
 				reagents.remove_reagent("blood",0.1)
 				blood_splatter(src,B,1)
-
-		germ_level += rand(2,6)
+		// Maybe scale it down a bit, have it REALLY kick in once past the basic infection threshold
+		// Another mercy for surgeons preparing transplant organs
+		germ_level++
+		if(germ_level >= INFECTION_LEVEL_ONE)
+			germ_level += rand(2,6)
 		if(germ_level >= INFECTION_LEVEL_TWO)
 			germ_level += rand(2,6)
 		if(germ_level >= INFECTION_LEVEL_THREE)
@@ -141,20 +145,27 @@ var/list/organ_cache = list()
 		die()
 
 /obj/item/organ/proc/is_preserved()
-	if(istype(loc,/obj/item/organ))
-		var/obj/item/organ/O = loc
-		return O.is_preserved()
-	if(istype(loc,/obj/item/device/mmi)) 	// Brain items are qdel'd when put in an MMI, and recreated in perfection when removed.
-		return 1							// This is all silly, but I can use this when I have MMIs actually store the brain -- Crazylemon
-	if(istype(loc,/obj/item/bodybag/cryobag))
+	if(istype(loc,/obj/item/device/mmi))
+		germ_level = max(0, germ_level - 1) // So a brain can slowly recover from being left out of an MMI
 		return 1
-	if(istype(loc,/obj/structure/closet/crate/freezer))
+	if(is_found_within(/obj/item/bodybag/cryobag))
+		return 1
+	if(is_found_within(/obj/structure/closet/crate/freezer))
 		return 1
 	if(istype(loc,/turf))
-		for(var/obj/structure/closet/crate/freezer/F in loc.contents)
-			if(F.opened)
-				return 1
-				break
+		if(needs_preservation_update)
+			// I don't want to loop through everything in the tile constantly, especially since it'll be a pile of organs
+			// if the virologist releases gibbingtons again or something
+			// There's probably a much less silly way of doing this, but BYOND native algorithms are stupidly naive
+			is_in_freezer = 0
+			for(var/obj/structure/closet/crate/freezer/F in loc.contents)
+				if(F.opened)
+					is_in_freezer = 1 // on the same tile, close enough, should keep organs much fresher on avg
+					break
+			needs_preservation_update = 0
+			spawn(100) // (100 / 10) once every 10 seconds
+				needs_preservation_update = 1
+		return is_in_freezer // I'd like static varibles, please
 
 	// You can do your cool location temperature organ preserving effects here!
 	return 0
@@ -194,6 +205,7 @@ var/list/organ_cache = list()
 
 /obj/item/organ/proc/rejuvenate()
 	damage = 0
+	germ_level = 0
 
 /obj/item/organ/proc/is_damaged()
 	return damage > 0
diff --git a/code/modules/organs/organ_external.dm b/code/modules/organs/organ_external.dm
index 1c6ca1d176b..866ff0a1eef 100644
--- a/code/modules/organs/organ_external.dm
+++ b/code/modules/organs/organ_external.dm
@@ -79,24 +79,28 @@
 	switch(stage)
 		if(0)
 			if(istype(W,/obj/item/weapon/scalpel))
+				spread_germs_to_organ(src,user)
 				user.visible_message("<span class='danger'><b>[user]</b> cuts [src] open with [W]!")
 				stage++
 				return
 		if(1)
 			if(istype(W,/obj/item/weapon/retractor))
+				spread_germs_to_organ(src,user)
 				user.visible_message("<span class='danger'><b>[user]</b> cracks [src] open like an egg with [W]!")
 				stage++
 				return
 		if(2)
 			if(istype(W,/obj/item/weapon/hemostat))
+				spread_germs_to_organ(O,user)
 				if(contents.len)
 					var/obj/item/removing = pick(contents)
 					removing.loc = get_turf(user.loc)
 					var/obj/item/organ/O = removing
 					if(istype(O))
 						O.status |= ORGAN_CUT_AWAY
+						spread_germs_to_organ(O,user) // This wouldn't be any cleaner than the actual surgery
 						O.removed(user)
-					else if(!(user.l_hand && user.r_hand))
+					if(!(user.l_hand && user.r_hand))
 						user.put_in_hands(removing)
 					user.visible_message("<span class='danger'><b>[user]</b> extracts [removing] from [src] with [W]!")
 				else
diff --git a/code/modules/surgery/organs_internal.dm b/code/modules/surgery/organs_internal.dm
index b0b840d138c..b7c4e059c3a 100644
--- a/code/modules/surgery/organs_internal.dm
+++ b/code/modules/surgery/organs_internal.dm
@@ -136,6 +136,7 @@
 		for(var/obj/item/organ/I in affected.internal_organs)
 			if(I && I.damage > 0)
 				if(I.robotic < 2)
+					spread_germs_to_organ(I, user)
 					user.visible_message("[user] starts treating damage to [target]'s [I.name] with [tool_name].", \
 					"You start treating damage to [target]'s [I.name] with [tool_name]." )
 
@@ -236,6 +237,7 @@
 
 		var/obj/item/organ/I = target.internal_organs_by_name[target.op_stage.current_organ]
 		if(I && istype(I))
+			spread_germs_to_organ(I, user)
 			I.status |= ORGAN_CUT_AWAY
 
 	fail_step(mob/living/user, mob/living/carbon/human/target, target_zone, obj/item/tool)
@@ -289,6 +291,7 @@
 		if(target.op_stage.current_organ)
 			var/obj/item/organ/O = target.internal_organs_by_name[target.op_stage.current_organ]
 			if(O && istype(O))
+				spread_germs_to_organ(O, user)
 				O.removed(user)
 			target.op_stage.current_organ = null
 
@@ -369,6 +372,7 @@
 		var/obj/item/organ/O = tool
 		if(istype(O))
 			O.replaced(target,affected)
+			spread_germs_to_organ(O, user)
 
 	fail_step(mob/living/user, mob/living/carbon/human/target, target_zone, obj/item/tool)
 		user.visible_message("\red [user]'s hand slips, damaging \the [tool]!", \
@@ -419,6 +423,7 @@
 		var/obj/item/organ/I = target.internal_organs_by_name[target.op_stage.current_organ]
 		if(I && istype(I))
 			I.status &= ~ORGAN_CUT_AWAY
+			spread_germs_to_organ(I, user)
 
 	fail_step(mob/living/user, mob/living/carbon/human/target, target_zone, obj/item/tool)
 		var/obj/item/organ/external/affected = target.get_organ(target_zone)
diff --git a/code/modules/surgery/surgery.dm b/code/modules/surgery/surgery.dm
index d353c4f49f7..9a743891511 100644
--- a/code/modules/surgery/surgery.dm
+++ b/code/modules/surgery/surgery.dm
@@ -66,7 +66,7 @@
 /datum/surgery_step/proc/fail_step(mob/living/user, mob/living/carbon/human/target, target_zone, obj/item/tool)
 	return null
 
-/proc/spread_germs_to_organ(obj/item/organ/external/E, mob/living/carbon/human/user)
+/proc/spread_germs_to_organ(obj/item/organ/E, mob/living/carbon/human/user)
 	if(!istype(user) || !istype(E)) return
 
 	var/germ_level = user.germ_level