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Well this guy is selling Surgeon Simulator for 1 key and 3 ref:
http://www.steamtrades.com/trade/1ModU/h-surgeon-simulater-w-15-tf2-keys
This guy is selling for 1 key and 3 ref as well:
http://www.steamtrades.com/trade/no28I/h-monacosurgeon-simulator-w-15-keys-each
If you can sell Surgeon Simulator for 1 key, instant trade. I added you to discuss!
I have CS:GO and Surgeon Simulator, looking for tf2 keys. don't really know the price so offer below