Credit to "WishMasterPtolemy" on YouTube.
Following my other solutions to "Surgetricity" and "Performance Enhancer?" will help to practice for this achievement.
Within 20 seconds of starting a procedure, you need to prick yourself with the green needle, and shove a metal instrument into the electrical socket.
This will both invert the controls, as well as making depth perception and wobbly controls.
Choosing a surgery that you feel comfortable doing will help. Taking a slow and careful approach will also help, as there is no real time limit on completing the surgery.