[[quoteright:350:[[VideoGame/TeamFortress2 http://static.tvtropes.org/pmwiki/pub/images/meet_the_medic_surgery_1705.jpg]]]]
[[caption-width-right:350:"[[FunetikAksent Anyvay]], zat's how I lost my medical license."]]

->''"Right, first I'll take those teef out for yer, dat should help ease da pain in yer leg. Grokkit, 'and me dat wrench. Now then... Open wide, an' say... AAARGH!"''
-->-- '''Ork Dok [[NamesToRunAwayFromReallyFast Gutslash]]''', ''TabletopGame/{{Warhammer 40000}}''

Surgeries are dangerous and delicate things. There's a reason why "[[ThisAintRocketSurgery brain surgeon]]" is a byword for "genius" - they have to spend hours carefully maneuvering minute instruments and a millimeter's error can kill their patient [[FateWorseThanDeath or worse]].

Naturally, expect this aspect of medicine to be thrown away in the name of [[RuleOfFunny comedy]]: the nurse will give the surgeon a [[DropTheHammer hammer]] and he'll immediately proceed to whack away violently, then an [[AnAxeToGrind axe]] and proceed to hack away, then a [[ThisIsADrill drill]], then a [[ChainsawGood chainsaw]], then [[NoodleImplements an eggbeater]], then...

If anaesthesia is administered, it's either by a [[TapOnTheHead sledgehammer to the head]] or [[DrFeelgood copious amounts of booze]]. For an extra gag, the booze may turn out to be [[DrunkenMaster for the surgeon]].

[[TakeOurWordForIt Don't expect to see]] what's [[GoryDiscretionShot going on with the patient]] during the operation, or [[RuleOfFunny an explanation]] as to why piercing his head is going to help with his HiccupHijinks, but he'll likely step away from the operation room completely healthy and his medical problem will be gone (or at least, he won't be horribly mutilated). However, agonised screaming and [[CameraAbuse blood splattering across the screen]] are par for the course.

More rarely, this ''can'' also be PlayedForDrama. The trope might be justified if the surgery takes place before the 20th century, for instance, or under field conditions, or ''both'' (see Real Life). Whatever the reason, it's never pretty-- ''pray'' they'll go for a DiscretionShot.

Common culprits for the comedy version are the {{Morally Ambiguous Doctor|ate}}, MadDoctor, or DepravedDentist, while the dramatic version will more likely involve TheMedic or the FrontierDoctor. A BackAlleyDoctor might be used for either.

Compare with ComicallyIneptHealing and WorstAid.



* In ''Anime/AfroSamurai'', when [[spoiler: Jinno is turned into a cyborg]]. This might qualify as BlackComedy, or the cartoonish nature of the scene might make it worse.
* ''Batting Female Doctor Saori'' is about a female doctor[[note]]named Saori[[/note]] who heals her patients by hitting them. With a baseball bat. [[PunchedAcrossTheRoom Usually across the room]]. Not only that, she can repair cars, tame panthers and win baseball games with her skill.
* ''Anime/MobileSuitGundamIronBloodedOrphans'' has the Ayla-Vijnana system; a BrainComputerInterface where a pilot can control a machine (such as a mobile suit) primarily through thought via a port embedded in their spine. The surgery is stated to be very painful, usually being done with no anaesthesia, leaves a grotesque steel and flesh tube sticking out of the patient's back, and has an absurdly high failure rate (around 40%, in which case the patient is usually permanently crippled if they survive) and is exclusively performed on children.

[[folder:Board Games]]
* The board game ''Operation'', naturally. The game's implication is made obvious during commercials.
** Don't be absurd. [[VideoGameCrueltyPunishment If you do it badly, you lose the game.]]
** Players who are already losing anyway will take their frustration out on the patient, who's already screaming anyway.

[[folder:Comic Strips]]
* ''ComicStrip/LibertyMeadows'':
** Frank tries to be professional, but occasionally falls into this trope, usually helped along by keeping Leslie (who has had ''no'' medical training) as his assistant. One notable example is when Frank is performing an operation, but has no anesthesia thanks to budget cuts. When he asks what painkillers they have left, Leslie offers up a six-pack of beer and a copy of James Joyce's ''Ulysses''. When Frank opts to use the latter, Leslie gets several sentences in before everyone (Frank included) falls asleep from boredom. The next comic shows that the patient has begun to wake up mid-surgery, so Leslie is preparing to knock him out with a sledgehammer.
** Another time Ralph the MadScientist circus bear and Leslie tried to perform liposuction on Dean (Frank refused to do it). They anesthetized him with a mallet and tried to use an ordinary vacuum for the liposuction, it caved his head in so they tried reversing the flow causing his head to overinflate. Next thing they show Frank has tried to undo the damage they did, resulting in Dean resembling Jabba the Hutt.
* ''ComicStrip/CalvinAndHobbes'' makes carving a pumpkin sound like this:
-->'''Calvin:''' OK, JACK, TIME FOR YOUR LOBOTOMY!! Hand me a big spoon, will you, Hobbes?\\
'''Hobbes:''' Ugh! No anesthetic even.

[[folder:Fan Works]]
* PlayedForDrama in chapter 4 of ''Fanfic/AKingdomDivided''.
* PlayedForDrama in ''FanFic/{{Webwork}}'' when the Jorogumo Queen transplants the Vessel [[spoiler: filled with hundreds of spider eggs]] into Jade with the only comfort being a rock to bite into, with the whole process given in ''horrifying'' detail, to the point that the author actually interrupts the story with a warning to squeamish readers to skip over that section altogether.
* PlayedForDrama in ''Fanfic/AloneTogether'': Kim and Shego have been stranded in an otherwise [[GhostPlanet unpopulated]] [[AlternateUniverse world]] long enough to become friends when Kim develops [[RupturedAppendix appendicitis]]. Shego manages to perform an appendectomy guided by frantic review of medical texts, constantly terrified that one wrong move will kill Kim and leave her [[GoMadFromTheIsolation utterly alone]].

[[folder:Films -- Live-Action]]
* ''Film/MontyPythonsTheMeaningOfLife'' features two "surgeons" forcibly harvesting organs from a man just because he's got an organ donor card. Mostly offscreen but obviously Meat Grinder Surgery.
-->'''Man:''' "Mr. Jones? We've come for you liver."
-->'''Mr. Jones:''' "But I'm using it right now."
* This trope is common in Film/TheThreeStooges shorts, especially the hammer anesthetic.
* PlayedForDrama in ''Film/RevengeOfTheSith'': After his near-fatal duel with Obi-Wan on Mustafar, Darth Vader is rushed to Coruscant for emergency surgery to turn him into a {{cyborg}}. Vader is fully conscious and screaming in pain throughout the procedure; in fact, Palpatine had specifically ''ordered'' the medical droids to keep him awake during the surgery, knowing that the pain would fuel his rage, and thus his power.
* ''Film/StarTrekIVTheVoyageHome'' presents 1980's medicine as this, from the perspective of 23rd century starfleet surgeon Dr. Leonard "Bones" [=McCoy=], along with a subplot to rescue Chekhov from such ''primitive'' attempts at medicine.
* PlayedForDrama in ''Film/SawIII'': Lynn Denlon uses a power drill and small circular saw to cut away a piece of Jigsaw's skull and relieve the pressure on his brain.
* In ''Film/IronMan'', Tony Stark is given major thoracic surgery in a cave with a box of scraps. He wakes up with a car battery wired into his chest. Justified as the Ten Rings are hardly going to let the guy they just abducted go to a hospital.
* Done in the SubStory ''Destination Tokyo''. Based on a real incident aboard USS ''Seadragon'', a pharmacist's mate performs an emergency appendectomy on one of his crewmates.
* Following the disastrous first battle of Klendatu in ''Film/StarshipTroopers'', Carmen and Zander walk by a one legged soldier who pleads: "Just give me something doc!"
* In Film/{{Downfall}}, the only way to treat any serious injury during the battle of Berlin is to knock out the patient, and amputate a limb, which have filled up the buckets used to collect them. And medicine, including painkillers, are becoming desperately rare.

* Standard medical practice in ''Literature/{{Discworld}}'''s Ankh-Morpork involves hitting the patient over the head with a hammer to anesthetize them. The only real doctor in the city (Dr. Lawn from ''Discworld/NightWatch'') is seen as crazy for worrying about things like sanitation, sterilization, and the survival of his patients... until Sam Vimes rewarded him for [[spoiler: saving his wife and newborn son]] by helping him open his own hospital. This is one of the reasons that, prior to ''Night Watch'', the most employed physician in the city was "Doughnut Jimmy" Folsom, a horse vet. The reasoning goes, a good racehorse is expensive and a big earner, so Jimmy could choose between keeping his patients alive or having the last words he hear be something like "Da boss is ''very'' unhappy."
** Ankh-Morpork is also the home of the the delightful new form of medicine known as [[http://wiki.lspace.org/mediawiki/Retrophrenology "retrophrenology."]]
* Eric Flint's book ''[[Literature/TrailOfGlory 1812: The Rivers of War]]'' provides an excellent example of this, which was TruthInTelevision at the time. The patient denies the issued anaestetic, which is raw Navy rum (he has a bottle of emergency laudanum packed away, which he uses), but he knows that refusing the anaesthetic the surgeon tried to give him would be good for his reputation regardless. Also, a quote:
--> "Few lumberjacks wielded a saw as vigorously as an Army surgeon after a major battle."
* The ''Literature/{{MASH}}'' surgeons referred to what they were doing as "meatball surgery" -- doing quick (but hopefully not too dirty) surgery, keeping the patient alive but leaving follow-ups to the better-equipped Evac hospitals. Naturally, many of the plots involved the protagonists trying to avert or subvert this trope, but it still arose from time to time.
--> '''Hawkeye:''' Our general attitude around here is that we want to play par surgery on this course. Par is a live patient. We're not sweet swingers, and if we've gotta kick it in with our knees to get a par that's how we do it.
* This trope is zig-zagged in the ''Literature/{{Temeraire}}'' series. Human medical treatment is standard for UsefulNotes/TheNapoleonicWars, however the tools used by dragon surgeons could easily pass for melee weapons... but then given the [[IncrediblyLamePun scale]] of their patients most of the injuries that can be treated by human physicians are relatively superficial.
* Touched upon in the Creator/TomClancy novel ''[[Literature/JackRyan Without Remorse]]'', whose protagonist has some rather ugly scars from "meatball surgery" of the sort touched upon in the entry for ''M*A*S*H'' above.
* Lauchlan of Literature/MixBeerWithLiquorAndYouWillGetSicker was subjected to this sort of surgery as a child, [[spoiler:having had his right eye gouged by an angry jackdaw, and a serious compound fracture from the subsequent fall that both had to be tended to right then and there. He was given alcohol but that didn't quite do the trick, his family members actually had to ''hold him down'' so that the surgeon could work.]] It was justified in that it was set in the 1800's, and Lauchlan would have likely bled to death in the time taken to get him to any proper anesthetics. As you can imagine, Lauchlan was, and remains, rather traumatized by the incident.
* ''Literature/NakedLunch'': Oh, [[MadDoctor Doctor Benway]]-- and really, ''any'' medical procedure in the novel is deeply fucked up.

[[folder:Live-Action TV]]
* This was used quite a bit in ''Series/MontyPythonsFlyingCircus''.
** [[http://www.youtube.com/watch?v=M68GeL8PafE Gumby Brain Surgery.]] Complete with a blow-to-the-head anesthetic.
** In [[http://youtube.com/watch?v=n19vHS5_WVk#t=4m17s another sketch]] the surgeon character asks a nurse for something more substantial than a scalpel, is given a bread knife and starts sharpening it with gusto ("Ooh, I do enjoy this!"). Then he makes a bold incision ''along the entire patient''.
* In ''Series/TheMuppetShow'', Rowlf occasionally gets to begin such an operation in the "Veterinarian's Hospital" sketches.
* Comes up in ''{{Sharpe}}'' once or twice, set as it is in the Napoleonic Wars. Sharpe himself removes a man's shattered arm with a sword (it's easier to stop the bleeding from one large wound than lots of little ones) and Harper pulls out one of his own teeth with pliers.
* The events of one episode of ''Series/StargateAtlantis'' forced Dr. Keller perform brain surgery on [=McKay=] with a power drill in a dank cave.
* One ''Series/StargateSG1'' episode involved Colonel Mitchell (who is NOT a doctor) performing surgery on a severely injured Carter while hiding out from bad guys.
* Surgery in ''Series/{{MASH}}'' is not as bad as this trope but the various characters regard it that way since it is a lot rougher than it would be in a proper hospital. The general term used in the show is "Meatball Surgery". Of course, being a frontline hospital unit, their jobs are to simply to save the patient and make sure they stay alive long enough to get sent to an evac hospital where they can be further treated before being sent to a hospital either in Tokyo or Stateside.
** Characters would occasionally help out at front line aid stations or at Korean field hospitals where they had to conduct even cruder procedures than at the 4077.
*** At a Korean field hospital:
---> '''Hawkeye:''' I wouldn't operate on your horse under these conditions.
---> '''Col. Potter:''' My horse wouldn't be caught dead in here.
* [[CuteAndPsycho Helena]] from ''Series/OrphanBlack'' actually does this on herself to remove a piece of rebar from her ''liver.'' No discretion shot for you.
* One medical sketch on ''Series/ThatMitchellAndWebbLook'' involved the new techniques of hitting patients with sledgehammers and frying pans.
* On ''Series/{{Rome}}'', after Titus gets a skull fructure from being struck on the head in a tavern brawl, he's tied into place, gagged, and the surgeon removes the piece of skull that got loose, then fits a small metal plate in. Titus passed out from the pain early on, thankfully.
* The realistic version is PlayedForDrama in ''Series/CodeBlack'' on a very regular basis, given that time is frequently short and resources often scarce at best. Drs. Leanne Rorish and Ethan Willis in particular have turned the "splash-and-slash"[[note]]splash on some antiseptic, then slash the patient open[[/note]] into a bona fide art form.
* A realistic depiction takes place in ''Series/GameOfThrones'', emphasizing that this is a LowFantasy pseudo-Medieval world where surgical knowledge is generally... not very advanced. One of the most gruesome surgeries seen yet appears in Season 7, where an attempt to treat the fantastical leprosy-equivalent called grayscale involves [[FlayedAlive slicing away the scabrous infected epidermal layers with knives]] and painting the raw skin beneath with some kind of healing ointment.

* This video for [[http://www.youtube.com/watch?v=UyrXy1TUDlw Aberinkula]] by Music/TheMarsVolta.
* The video for [[Music/WeirdAlYankovic Weird Al's]] [[http://www.youtube.com/watch?v=notKtAgfwDA Like A Surgeon]]
* [[http://www.youtube.com/watch?v=KXROnzpsrlg The Drugs Song]] by the British comedy duo Creator/AmateurTransplants is a PatterSong that lists an impossibly long sequence of a various drugs that need to be known by a GP doctor, and then ends in this gem of a quote:
--> Or fuck 'em all and [[StealthInsult get a job in orthopedic surgery]].

[[folder:Tabletop Games]]
* This trope is invoked in ''TabletopGame/{{Warhammer 40000}}'' by Ork doctors, the painboyz (also known as Doks, or Mad Doks), whose idea of "anesthesia" is giving the patient a violent concussion. Some don't even bother to use anesthetic at all, preferring to have their patient squirming and kicking so they know he's still alive. Orks are so inhumanly tough that they not only survive, but usually fully recover very quickly- which to the doks means they have plenty of leeway for [[PlayingWithSyringes experimentation and personal amusement]] (successful ork ''head transplants'' are entirely possible). Having a Painboy in a unit gives all of its members a chance of ignoring damage- its unclear whether this is because the dok [[YouWontFeelAThing treats the injuries]], or if the nearby [[FateWorseThanDeath reminder of what awaits the injured]] encourages Orks to ignore little things like [[TisOnlyABulletInTheBrain bullets to the head]] and [[YouCallThatAWound missing limbs]].
-->'''[[VideoGame/DawnOfWar Mad Dok:]]''' [[HarmfulHealing This is gonna 'urt]] ''[[HarmfulHealing a lot!]]'' [[HarmfulHealing But you'll be bettah, you'll see!...]]
** The GaidenGame ''Gorkamorka'' had somewhere in the neighbourhood of six pages of rules for visiting the Dok after a scrap (usually several scraps after the injury was sustained, in fact, since it'd take that long for the injured Ork's comrades to convince him to go). Particularly notable results on the tables for this included replacing the patient's brain with that of a face-eater squig, bolting a thruster pack to the unfortunate Ork's spine, and the Dok ''forgetting what he was doing'' and operating on the wrong part of the body.
** The World Eaters are made exclusively of WarGod-worshipping lunatics who don't care whose blood they spill (the enemy's, their allies', their ''own''...) who have lobes of their brain removed so as to no longer feel fear. The individuals to whom this delicate task is trusted are, of course, known as ''berserker surgeons''.
** This type of surgery is why the famed Dok Grotsnik is totally insane. In an attempt to save him after an attack by some angry patients, his Gretchin "nurses" went to work. Before it was over, they had vomited in his open skull, a spider had found a comfy spot to rest in his head and he died half-a-dozen times on the table. When he came to, what little sanity he originally had was ''long'' gone.
* ''TabletopGame/MagicTheGathering'' has the Goblin Chirurgeon ("Chirurgeon" is a middle English term for surgeon), who kills live goblins to make sure other creatures can live. One art has one sawing away at a goblin's leg to give to another goblin who has lost theirs. The goblin getting his leg hacked off is awake at the time.
** Also implied by another Goblin in Goblin Medics, specifically in its flavor text, a perversion of the Hippocratic Oath: "First, do some harm."
* In the ''TabletopGame/{{Ravenloft}}'' setting, it's implied that this is the sort of "surgery" used by Frantisek Markov, the Darklord of Markovia, to turn victims into Broken Ones, although there is at least some magic involved as well. {{Justified|Trope}} as he was actually an uneducated butcher prior to his JumpingOffTheSlipperySlope into becoming a Darklord. He uses no anesthetic, in any case.

* A skit frequently used at summer camps is all about this, with everyone standing behind a sheet so only the shadows can be seen. There are several variations depending on who is performing it and where, but some include:
** The doctors (a normal stethoscope/lab coat doctor and a tribal witch-doctor) initially stated that neither had performed surgery before. It was clear that they had no idea what they were doing.
** The patient was knocked out by being [[TapOnTheHead hit over the head]] with a sledgehammer and woken up by being hit again.
** The [[ChainsawGood chainsaw]]-as-surgical-instrument subtrope made an appearance.
** The doctors accidentally removed the patient's heart, which bounced around for a few seconds and then exploded.
** Despite the doctors making a huge mess and accomplishing nothing, the patient exclaimed, "I feel much better now!" at the end.

[[folder:Video Games]]
* The ''VideoGame/AmateurSurgeon'' series is based all around this since the main character is a BackAlleyDoctor with a talent for improvising. Why use a scalpel when you have a pizza cutter? Lighters can cauterize pretty well, can't they? Surely a [[ChainsawGood Chainsaw]] would make for a perfect bone saw, right?
* The ''VideoGame/TeamFortress2'' video ''[[http://www.youtube.com/watch?v=36lSzUMBJnc Meet the Medic.]]'' Roughly half the video involves the RED Medic performing surgery on the Heavy, in a procedure involving a device (which, as it turns out, enables the Übercharge in-game) getting shoved onto Heavy's still-beating heart, said heart ''exploding'' and being replaced with a "Mega Baboon" heart, and Medic pushing the organ into the Heavy's chest cavity so hard he breaks off a rib. All while the Heavy is awake, mind you.
-->'''Heavy''': Should I be awake for this?\\
'''Medic''': [laughs] Well, no. But as long as you are, ''[[BodyHorror could you hold your rib cage open a bit?]]''
** Not to mention he allows his pet doves to roam the room during operations. [[NamedAfterSomebodyFamous Archimedes]], pictured above, even likes to hang out inside patients' ribcages. The only thing the Medic finds objectionable about this is that "It's filthy in there!"
** Mind you, the Medic's nigh-magical Medigun, plus the CartoonPhysics of the ''Team Fortress 2'' universe pretty much allows him to throw caution out the window.
** Even the opening NoodleIncident qualifies:
-->'''Medic''': When the patient woke up, his skeleton was missing, and the doctor was never heard from again! [laughs] Anyway, that's how I lost my medical license.
** The Medic's idea of "proper surgical garb" is whatever he happens to be wearing at the time. In ''Meet The Medic'', "surgical garb" is a sweater vest and shirt. Oddly enough, he only puts on a lab coat and gloves when he's preparing for battle.
** At the end of Meet the Medic, it turns out that he accidentally sewed Archimedes ''into Scout's chest''. In gameplay, occasionally a dead Scout will even have a dove pop out of the corpse!
** In The Sound of Medicine promo, the Medic develops a device for reviving people in the middle of the battlefield. This process apparently uses the Medigun's normal healing ability while telekinetically reassembling the victim back to normal. ''That last part was not a metaphor'', it literally lifts the gibs back into a holographic template.
** During ''The Naked and the Dead'', a meatgrinder ''transfusion'' is shown, with Medic simply scooping the blood out of puddles with any available cloth (including underwear) and pouring it back into his exsanguinated team's wounds, getting them back in order instantly. The ensuing conversation between Ms. Pauling and the Medic lampshades it, with him joking about medical school being useless, then telling her as a TwoFacedAside that worrying about blood types is the ''least'' of her problems. It'd seem he's plenty aware none of what he does makes much sense, but it works anyways; why should he bother?
* A non-comedic example occurs in ''[[VideoGame/FirstEncounterAssaultRecon FEAR 2: Project Origin]]'', while [[PlayerCharacter Michael Beckett]] is undergoing surgery to awaken his Harbinger powers, he has a hallucination in which demonic creatures in surgical uniforms claw and hack at his flesh.
* Doctor Zed in ''Videogame/{{Borderlands 2}}'' asks the protagonists (crazy gun-toting badasses) to assist in an operation to mend a captured Hyperion engineer's lungs; asking the player to carefully make a small incision below the sternum. Pressing the button to "Perform surgery" causes you to stab the man in the chest with a pickaxe or punch his chest open.
-->'''Zed:''' Eh, close enough.
** The same task only requires you to damage him, so it's perfectly valid to ''blow up the patient with a grenade'' and he still considers it "close enough". You can also hop on the guy's body (which somehow achieves the same effect).
** He wasn't any better in the first game. The first time players see him, Zed's giving a malevolent look to a fellow how is either not long for the world or already expired...and his introduction pauses juuust as he's about to violently swing a buzz axe (a buzz saw crossbred with a fire axe, and the main weapon of the game's Psycho enemies) and carve his victim like an ugly, graying turkey. It's heavily implied that Zed's idea of general medical care isn't any better and outright explicit that he's not even a doctor, especially after he sends players out on a FetchQuest to repair the medical vending machine.
-->'''Zed:''' Who needs a ''real'' doctor when you got my machines and their scary needles?
** His intro in the second one is even more violent, as he drives a needle into a man's sternum by ''slamming it in''. He also outright admits that he lacks both a doctorate (of any kind) and a Medical License. That last one particularly grinds him because Doc Mercy, a ''psychotic murderous bandit'', apparently still has a valid one.
* The freeware Flash ''[[http://jayisgames.com/tag/darkcut Dark Cut]]'' series features this trope as a deliberate DarkerAndEdgier version of ''VideoGame/TraumaCenter''. Pretty much every operation is a medieval, battlefield, or otherwise non-standard surgery center PlayedForDrama with lots of grit and blood and creepiness.
* The game ''VideoGame/SurgeonSimulator2013'' can be described as "''VideoGame/{{QWOP}}'' gets his medical license". And it is just as darkly hilarious as it sounds. Even if the patient has their lungs on the floor, their ribcage smashed beyond repair, and about five milliliters of blood left, [[InstantWinCondition as long as you fulfill the given objective the operation will end successfully]].
--> [[BlatantLies "Looks fine to me, I'm sure he'll live..."]]
** It has been given a DLC in the form of a 'level' where you play [[VideoGame/TeamFortress2 the Medic performing his first Ubercharge heart transplant]], as seen in Meet the Medic. He still controls like a drunk on amphetamines. Two memetic meatgrinder surgeons for the price of one!
* ''VideoGame/{{Fallout 3}}'': When Vault 101's Mr. Handy is assigned to be the vault's doctor, he ends up amputating a patient's leg instead of treating their sprained big toe, killing her. In ''Point Lookout'', the Lone Wanderer undergoes a lobotomy at the hands of a BackAlleyDoctor [[MushroomSamba while under the influence of psychedelics]].
** While helping Argyll, the Boomers' doctor in ''VideoGame/FalloutNewVegas'', a low-Intelligence character has the option to "CHOP CHOP CHOP" a patient, which saves them through "dumb luck".
* The Stroggification process in ''VideoGame/QuakeIV'' includes the victim's legs being amputated with a giant buzzsaw, needles thrust into them from a full meter away and riveting of the new body parts not unlike what's seen at a car factory. The most vaguely hygienic part of it is the cauterization of these wounds. Nonetheless, it leaves [[PlayerCharacter Matthew Kane]] 40% faster and 25% tougher than when he came in, as well as capable of understanding the {{Wingdinglish}} that is the Strogg language.
* In ''VideoGame/LeisureSuitLarry 5'', Passionate Patti gets this treatment with a drill during a TrackingDevice implantation.
* PlayedForDrama in ''VideoGame/MetalGearSolidGroundZeroes'', where the surgery to extract Paz's stomach bomb is pretty much a matter of cutting her open and digging around in her intestines while Big Boss holds her down, all while Paz is fully conscious and screaming her lungs out. It's actually a justified case, since the bomb is on a timer and they're performing it in a moving helicopter near an enemy base, so they simply don't have the time for a legitimate surgery or the luxury of being able to just take cover in case it goes off.

[[folder:Web Animation]]
* ''WebAnimation/DoctorLollipop'' performs surgery on the raptor by having a woodsman perform the incision with an axe, and then kicking the raptor's TalkingAnimal filled belly.

[[folder:Web Comics]]
* When Tavros in ''Webcomic/{{Homestuck}}'' gets bionic legs, the first step is removing his old ones. His friend Kanaya Maryam takes care of this. With her chainsaw.
* In ''Webcomic/TheLastDaysOfFoxhound'' during the Normandy invasion The Boss (then known a The Joy) went into labor while on the battlefield, and performed a c-section on herself. She and the baby were both fine, while the baby's father The Sorrow passed out pretty much immediately when she made the first cut.
* ''Webcomic/AwfulHospital'': Head surgeon Circula Tori operates on Fern with a spork and drops her ID card into her chest cavity... but nonetheless repeatedly restores her to life. In an unusually literal example, she once does so after Fern falls into a living meat grinder.
* ''Webcomic/DeepRise'': Deep Nobles are a walking combination of meatgrinders, eldritch tentacles, and genius bioengineers. Any surgery they perform is almost guaranteed to maximize invasive pain and grotesque assimilation. On the plus side, they've developed cures to world hunger and aging.
* ''Webcomic/SchlockMercenary'': Neeka is an Esspererin, a species renowned for their engineering abilities. She is a rarity in that she chose to be a field medic instead. You know how mechanics fix cars - by ripping out the damaged part, fiddling with it, then bolting it back in? Neeka does that to ''organs and limbs''. The surgery always occurs [[GoryDiscretionShot off-panel]], but is typically accompanied by [[PaintingTheMedium blood-spattered speech bubbles]], shocked or disgusted onlookers, and occasionally the screams of unsuspecting "patients" who want to know where she is going with their leg. She's an absolute miracle worker, but she's been mistaken for an automated blender more than once.
-->'''Chelle:''' At least we got her to start offering anesthetic.


[[folder:Web Original]]
* PlayedForLaughs in the [[WebVideo/HydraulicPressChannel Beyond the Press channel]] video "Wife vs. husband air cannon challenge"- the challenge in question was to shoot a secondhand clothing mannequin affectionately named Johnny using the aforementioned homemade air cannon. When Lauri lands a hit on Johnny with a zucchini halfway through the video, Johnny's left arm and right hand pop off, so his wife repairs him using duct tape and they go back to shooting him.
--> '''Lauri:''' "First aid, Finnish way."
* Deliberately invoked by a cancer patient in [[https://notalwaysright.com/a-very-special-brain/31925/ this]] ''[[NotAlwaysRight/SisterSites Not Always Friendly]]'' story, as part of his quest to make the nurses laugh every time he goes in for radiation treatment.

[[folder:Western Animation]]
* ''WesternAnimation/CourageTheCowardlyDog'': In the episode "The Transplant," after Eustace twists his spine falling off of a roof, he gets a "disk transplant" from Dr. Vindaloo, using the kangaroo monster bone Courage dug up. Said transplant involves the doctor literally hammering the bone into Eustace's body with a mallet, and then duct-taping it in place, all while Eustace is fully conscious.
-->'''Eustace''': Durn doctor don't know what he's doin'!
* Used in ''WesternAnimation/CowAndChicken'' for plastic surgery during a plastic surgery contest.
* Also used for ''amateur'' plastic surgery in the ''WesternAnimation/AquaTeenHungerForce'' episode "Super Model".
* ''WesternAnimation/{{Futurama}}'' -- Professor Farnsworth decides the best way to carry out Bender's delicate gender reassignment is with a sledgehammer. Yeah, he's a robot, but ''a sledgehammer''.
** This is also what happens when you see Zoidberg for treatment. Although it's shown that he's actually a very good doctor when it comes to BizarreAlienBiology, it's just that, unfortunately, ''human'' anatomy is something he doesn't have nailed down just yet.
*** He is however somewhat capable at reattaching severed limbs. Even if he ''was'' the one who severed them in the first place.
*** And if the limb in question ends up on the wrong side.
* ''WesternAnimation/{{Kaeloo}}'':
** [[spoiler: Stumpy winds up being a victim of this in Episode 78 when Olaf tries to turn him into a cyborg by giving him surgery with no anasthetic using a drill and a chainsaw. Miraculously, he survives it, but his cyborganic implants suck. Fortunately, NegativeContinuity has him back to normal by the next episode.]]
** Stumpy again winds up being a victim of this when he asks [[{{Jerkass}} Mr. Cat]] to help him when he has a toothache. Mr. Cat uses a chainsaw, a jackhammer and other things and somehow turns Stumpy's head into a fire extinguisher. Stumpy is back to normal in a few minutes.
* This trope was the subject of the first skit of the ''WesternAnimation/{{Madballs}}'' episode "Gross Jokes", where Screamin' Meemie plays an incompetent surgeon named Dr. Ghastly and there are many jokes revolving around him having no idea what he's doing, such as going through with the surgery even though no one is certain if the patient has been anesthetized, Slobulus remarking that Dr. Ghastly kills most of his patients, and Dr. Ghastly coming to the conclusion that the patient's problem can be solved by removing his brain.
* Wilbur in ''Disney/TheRescuersDownUnder'' is threatened with this by a group of mice, before he decides he feels fine and decides to check out early.
* ''WesternAnimation/TheSimpsons''
** [[MorallyAmbiguousDoctorate Dr. Nick Riviera]] is basically the living avatar of this trope. He was once brought before a malpractice committee for over 100 heinous charges, including performing surgery with a knife and fork from a seafood restaurant ("But I cleaned them with my napkin!")
*** Don't forget his old friend Mr. [=McGreg=], with a leg for an arm, and an arm for a leg!
** Moe is also revealed to be an unlicensed and unhygienic surgeon in one episode.
* Kenny gets one of these in ''WesternAnimation/SouthParkBiggerLongerAndUncut'', after his attempt to set his [[FartsOnFire fart on fire]] literally backfires. They end up replacing his heart with a baked potato.
* ''WesternAnimation/TransformersPrime'': Knock Out usually goes a more painless route (as painless as a Decepticon opts to be anyway), and him surgically [[spoiler:inserting a new T-cog into Starscream]] went off without a hitch. However when Megatron asks him to graft a new arm onto him in his pursuit of power, Knock Out wants to put him in stasis, only for Megatron to inform Knock Out that he wishes to be awake to witness it. Knock Out just shrugs, whips out his buzz saw and starts cutting away.

[[folder:Real Life]]
* Brain surgery involves drilling a hole in someone's head. The drill functions exactly the same as the one you use at home; just a little more fancy, a '''lot''' more expensive, and more carefully cleaned [--or so the patient very sincerely hopes--]. Plus, the anesthetic.
* Amputating limbs is done with an electric saw. It also looks and acts a lot like a regular hand tool.
** There's a reason why in times past, one common nickname for a doctor was "sawbones". Sawtoothed knives were used for the amputations.
* A few prehistoric skulls have been found with [[http://en.wikipedia.org/wiki/Trepanation trepanations,]] or holes cut through the skull. This was of course done with primitive implements, yet the bones show signs of long-term healing, which means the patient survived the surgery.
* Battlefield surgery until surprisingly recently could be like this. They would amputate with a saw and cauterize with a branding iron [[FateWorseThanDeath with no anesthetic]] other than rum and opium. Which wasn't always given.
** This is a popular myth, but not exactly based in historical fact. Ether was available as early as UsefulNotes/TheAmericanCivilWar, and the use of forceps to tie off the blood vessels and arteries (invented, among other places, in Ancient Egypt) had been rediscovered in the 1600s - not that, of course, without the sterilization of medical instruments being a given, it helped survival rates much. Battlefield surgery wasn't ''pretty'', but it wasn't "biting the bullet" either. It was the recovery process in the hospitals that was more likely to kill you, actually, as you waited around to see if you got gangrene or not and tried not to catch anything from the sick and wounded people all around you.
* Before anesthesia, the surgeon needed to tie down the patient or have assistants restrain them before he operated.
* The removal of wisdom teeth involves a tool that looks very much like a stainless-steel chisel.
** The same chisel is used to drain tooth abscesses, under anesthesia. The patient [[{{Squick}} can hear it scraping the jawbone]].
* Orthopedic surgery (in layman's terms, ''skeletal'' surgery) can appear this way, with the use of power tools, hand tools, and hardware similar to those seen in a workshop (although sterile and much more expensive), as well as the use of what appears to be strenuous amounts of physical pulling and tugging by surgical staff (to ensure proper alignment of joints and bones, etc.). For this reason, it is said that an orthopedic surgeon must be as strong as an ox, [[StealthInsult and TWICE]] [[DontExplainTheJoke as smart]]!
** On a related note, the world's first chainsaws were bone-cutting devices known as [[https://en.wikipedia.org/wiki/Osteotome osteotomes.]] They're scaled down and hand-cranked, but the basic concept is the same.
* Several appendectomies were performed on board US submarines during World War II by pharmacist's mates with improvised tools and textbooks.
* Self-appendectomies have also been performed in isolated places and with improvised tools, for example by a Russian doctor in Antarctica and an Australian soldier in the Philippines during WWII.
* On ''Series/UntoldStoriesOfTheER'' which is mostly true when the ER doctors have to perform surgery right there and then. A splash-and-slash is the modern equivalent of this. (A splash-and-slash is where they barely have enough time to splash antiseptic onto the patient before cutting them open. Only done when the patient is going to die or is already technically dead before the surgeons are even called.)
* Cataract is a condition where the eye lens become clouded and results in loss of sight, and treated through surgery. The earliest cataract surgery was 800 BC, using a curved needle to [[EyeScream scrape the insides of the eye.]]
* There was a woman in rural Mexico who was having some childbirth complications. She was miles away from any hospital, and had no car or phone. Her husband was away at work, and her nearest neighbors were a good distance away. So she drank some tequila and performed a caesarian section ''[[SelfSurgery on herself!]]'' Both she and the baby were fine.
* Many cultures have various forms of genital cutting/modification, often performed as a rite of passage. Often, these are performed by traditional practitioners (traditional healers/midwives, shamans, etc.) or relatives/family friends...and in this case, the implements are usually not be washed or sterilized in between. (Sometimes, a mass cutting ritual takes place, where the same knife is used over and over.) Not helping matters is the fact that many times, these procedures are ''not'' performed under an anesthetic. Special mention goes to the most extreme forms of FGM/C: [[https://en.wikipedia.org/wiki/Female_genital_mutilation#Type_III Type III or infibulation]]. (Warning: *VERY* disturbing content!)
* The practice of "gishiri cutting," which is performed in parts of Africa for therapeutic reasons (although there is no evidence that it ''actually'' helps any of the gynecological problems it's supposed to alleviate...in fact, it tends to make them worse, or create some ''interesting'' new ones). A knife is placed ''inside the vagina'', and then drawn back out again, as many times as deemed necessary.