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Did you run it from inside Survival?
If it is not showing the create server option when you start the game then you have not installed it correctly. Make sure the Survival folder goes in your SourceMods directory, restart steam and then run 'Half-Life 2: Survival' from the games list.
If then you still are having trouble running a server it's likely your ports have not been forwarded. Go to Portforward.com and read the instructions regarding your modem and running a server for Half-Life 2.
Will you accept a page on fpsbanana?
Ugh, we gotta update that nurse pic :P