diff --git a/code/game/machinery/vending/vendor_types/crew/synthetic.dm b/code/game/machinery/vending/vendor_types/crew/synthetic.dm
index 0496530be861..f97fbd11f996 100644
--- a/code/game/machinery/vending/vendor_types/crew/synthetic.dm
+++ b/code/game/machinery/vending/vendor_types/crew/synthetic.dm
@@ -102,6 +102,8 @@ GLOBAL_LIST_INIT(cm_vending_clothing_synth, list(
 		list("Webbing", 0, /obj/item/clothing/accessory/storage/webbing, MARINE_CAN_BUY_ACCESSORY, VENDOR_ITEM_REGULAR),
 		list("Surgical Webbing Vest", 0, /obj/item/clothing/accessory/storage/surg_vest, MARINE_CAN_BUY_ACCESSORY, VENDOR_ITEM_REGULAR),
 		list("Surgical Webbing Vest (Blue)", 0, /obj/item/clothing/accessory/storage/surg_vest/blue, MARINE_CAN_BUY_ACCESSORY, VENDOR_ITEM_REGULAR),
+		list("Surgical Drop Pouch", 0, /obj/item/clothing/accessory/storage/surg_vest/drop_green, MARINE_CAN_BUY_ACCESSORY, VENDOR_ITEM_REGULAR),
+		list("Surgical Drop Pouch (Blue)", 0, /obj/item/clothing/accessory/storage/surg_vest/drop_blue, MARINE_CAN_BUY_ACCESSORY, VENDOR_ITEM_REGULAR),
 		list("Tool Webbing", 0, /obj/item/clothing/accessory/storage/black_vest/tool_webbing, MARINE_CAN_BUY_ACCESSORY, VENDOR_ITEM_REGULAR),
 		list("Drop Pouch", 0, /obj/item/clothing/accessory/storage/droppouch, MARINE_CAN_BUY_ACCESSORY, VENDOR_ITEM_REGULAR),
 
diff --git a/code/modules/clothing/under/ties.dm b/code/modules/clothing/under/ties.dm
index 329e2055778e..fd3da706f6d5 100644
--- a/code/modules/clothing/under/ties.dm
+++ b/code/modules/clothing/under/ties.dm
@@ -593,6 +593,22 @@
 /obj/item/clothing/accessory/storage/surg_vest/blue/equipped
 	hold = /obj/item/storage/internal/accessory/surg_vest/equipped
 
+/obj/item/clothing/accessory/storage/surg_vest/drop_blue
+	name = "blue surgical drop pouch"
+	desc = "A matte blue synthcotton drop pouch purpose-made for holding surgical tools."
+	icon_state = "drop_pouch_surgical_blue"
+
+/obj/item/clothing/accessory/storage/surg_vest/drop_blue/equipped
+	hold = /obj/item/storage/internal/accessory/surg_vest/equipped
+
+/obj/item/clothing/accessory/storage/surg_vest/drop_green
+	name = "green surgical drop pouch"
+	desc = "A greenish synthcotton drop pouch purpose-made for holding surgical tools."
+	icon_state = "drop_pouch_surgical_green"
+
+/obj/item/clothing/accessory/storage/surg_vest/drop_green/equipped
+	hold = /obj/item/storage/internal/accessory/surg_vest/equipped
+
 /obj/item/clothing/accessory/storage/knifeharness
 	name = "M272 pattern knife vest"
 	desc = "An older generation M272 pattern knife vest once employed by the USCM. Can hold up to 5 knives. It is made of synthcotton."
diff --git a/icons/mob/humans/onmob/ties.dmi b/icons/mob/humans/onmob/ties.dmi
index a908aaf71037..32a5bb304384 100644
Binary files a/icons/mob/humans/onmob/ties.dmi and b/icons/mob/humans/onmob/ties.dmi differ
diff --git a/icons/obj/items/clothing/ties.dmi b/icons/obj/items/clothing/ties.dmi
index 083aaa4d4ada..54a8ca0ec827 100644
Binary files a/icons/obj/items/clothing/ties.dmi and b/icons/obj/items/clothing/ties.dmi differ
diff --git a/icons/obj/items/clothing/ties_overlay.dmi b/icons/obj/items/clothing/ties_overlay.dmi
index 89396622aba3..368ee0579232 100644
Binary files a/icons/obj/items/clothing/ties_overlay.dmi and b/icons/obj/items/clothing/ties_overlay.dmi differ