The branches

Seven things about a person that can be changed

Every upgrade on the tree sits under one of these. The count on the home page adds them all up; this page shows them one branch at a time.

The stages

Each upgrade sits on one rung of a five-rung ladder. It moves up when a public record shows the next thing has happened, and it never moves down: if a device is later withdrawn, the record says so, but the rung it reached stays.

  1. Idea only. Proposed or worked on, but not yet shown to work in any living animal.
  2. Shown in animals. Shown to work in a living animal, in a peer-reviewed report.
  3. First human. At least one person has had it, with a public record of that. Approval is not required.
  4. In clinical use. A regulator somewhere has approved it, or it is in routine use in a named clinical setting.
  5. In wide use. Available to the general public in at least one country and taken up by many people.

35 upgrades on the tree, 28 at a first human or beyond. How a stage is decided: how the numbers are worked out.