diff --git a/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.Steps.cs b/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.Steps.cs
index a01077c77d..c4555e90c1 100644
--- a/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.Steps.cs
+++ b/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.Steps.cs
@@ -283,6 +283,9 @@ public abstract partial class SharedSurgerySystem
                 if (!containerSlot.ContainedEntity.HasValue)
                     continue;
 
+                if (_tagSystem.HasTag(containerSlot.ContainedEntity.Value, "PermissibleForSurgery")) // DeltaV: allow some clothing items to be operated through
+                    continue;
+
                 args.Invalid = StepInvalidReason.Armor;
                 args.Popup = Loc.GetString("surgery-ui-window-steps-error-armor");
                 return;
diff --git a/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.cs b/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.cs
index fe12eed8fe..de32ebb4dc 100644
--- a/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.cs
+++ b/Content.Shared/_Shitmed/Surgery/SharedSurgerySystem.cs
@@ -21,6 +21,7 @@ using Content.Shared.Inventory;
 using Content.Shared.Popups;
 using Content.Shared.Prototypes;
 using Content.Shared.Standing;
+using Content.Shared.Tag; // DeltaV: surgery can operate through some clothing
 using Robust.Shared.Audio.Systems;
 using Robust.Shared.Map;
 using Robust.Shared.Network;
@@ -47,6 +48,7 @@ public abstract partial class SharedSurgerySystem : EntitySystem
     [Dependency] private readonly RotateToFaceSystem _rotateToFace = default!;
     [Dependency] private readonly StandingStateSystem _standing = default!;
     [Dependency] private readonly SharedTransformSystem _transform = default!;
+    [Dependency] private readonly TagSystem _tagSystem = default!; // DeltaV: surgery can operate through some clothing
 
     /// <summary>
     /// Cache of all surgery prototypes' singleton entities.
diff --git a/Resources/Prototypes/Entities/Clothing/OuterClothing/misc.yml b/Resources/Prototypes/Entities/Clothing/OuterClothing/misc.yml
index 552000cbc0..a78a7e46db 100644
--- a/Resources/Prototypes/Entities/Clothing/OuterClothing/misc.yml
+++ b/Resources/Prototypes/Entities/Clothing/OuterClothing/misc.yml
@@ -265,6 +265,10 @@
     sprite: Clothing/OuterClothing/Misc/hospitalgown.rsi
   - type: Clothing
     sprite: Clothing/OuterClothing/Misc/hospitalgown.rsi
+  - type: Tag # DeltaV: tank harnesses can be used for surgery
+    tags:
+    - PermissibleForSurgery
+    - WhitelistChameleon
 
 - type: entity
   parent: ClothingOuterBase
diff --git a/Resources/Prototypes/Entities/Clothing/OuterClothing/vests.yml b/Resources/Prototypes/Entities/Clothing/OuterClothing/vests.yml
index 0cecbcab7e..55412088ee 100644
--- a/Resources/Prototypes/Entities/Clothing/OuterClothing/vests.yml
+++ b/Resources/Prototypes/Entities/Clothing/OuterClothing/vests.yml
@@ -91,3 +91,7 @@
     sprite: Clothing/OuterClothing/Vests/tankharness.rsi
   - type: Clothing
     sprite: Clothing/OuterClothing/Vests/tankharness.rsi
+  - type: Tag # DeltaV: tank harnesses can be used for surgery
+    tags:
+    - PermissibleForSurgery
+    - WhitelistChameleon
diff --git a/Resources/Prototypes/_DV/tags.yml b/Resources/Prototypes/_DV/tags.yml
index 2557e71e9d..76b96a7595 100644
--- a/Resources/Prototypes/_DV/tags.yml
+++ b/Resources/Prototypes/_DV/tags.yml
@@ -104,3 +104,6 @@
 
 - type: Tag
   id: GlassesCorpsman # Prescription corpsman glasses.
+
+- type: Tag
+  id: PermissibleForSurgery # Can be worn on the body during surgery