There's some confusion on this thread, and I think we're missing some details in your post.
You've passed Step 3 with a low score, but at least all the steps are done.
Your CK score is "below the minimum pass of 209" but you took the exam before the minimum pass was raised. Problem is, in 2014 the min pass was increased from 203 to 209. So presumably you took it when the minimum pass was 197 (or so), before they raised it to 203. This suggests that you completed medical school quite some time ago.
You mention being in a surgery program. I am wondering if you were in a prelim surgery program. And sounds like you did not complete the year.
We're missing whether you're an IMG or USMG. I assume you're not a DO, or you would have likely taken the COMLEX instead.
So, I'm assuming you graduated from medical school a good number of years ago, started in a prelim GS program, dropped out (or failed out), failed Step 3 twice, passed with a low score on your third try. And I'm wondering if you've taken a break after your surgery training also. As you stated yourself, red flags out the wazoo.
SOAPing into Prelim GS again sounds like a bad plan. Didn't go well last time, and if you drop out of another program your career is almost certainly over.
If you have a full year of credit (or close), then SOAPing into Neuro might be an option. A surgery year will not count for neuro completely, but you might get some credit and only have to make up some of the PGY-1 year. Or, if a neuro categorical spot is in SOAP, that's an option.
Pathology and Psych are also less competitive fields, and are significantly different from surgery that one could argue that your performance would be completely different.
In order to SOAP successfully, you'll need to show that you've experienced the field and know it's a good fit for you. No Path/Psych program is going to take you seriously if you apply because "they have an open spot and I'll take anything". So I think the best strategy at this point is to review the match results for last year to get a sense of how many spots in each field are open, and decide what you want to do. Then, try to get some experience in that field -- even if it's just shadowing an FP/Psych/Path doc, and get a letter or two to add to your ERAS application for SOAP. Then you'll apply carefully in SOAP. You only get a limited number of applications in the first round (and you can't purchase more), and almost all spots are gone by the time the second round of applications opens up.
And then, you need a plan B and a plan C. Plan B is to try to get more clinical experience in one of the fields mentioned, and apply again next year. Plan C is not being a clinician, and doing something else. If SOAP doesn't go well, you need to start working on both.
