Lyric discussion by michinobu_zoned 

Cover art for Surgery lyrics by Vincent Black Shadow, The

to tastefuldeath:

"ORAL-PLASTY" with the hyphen or space is a word. Just not connected without space like the original poster had written it.

But, to me oral-plasty makes better sense than oplasty (general surgery) because it sounds like the speaker is one confused individual.

A lobotomy is frontal lobe surgery, which would indicate something significantly wrong with the speaker's brain on a physical level.

The cutting of skin and not having to wait in line is really confusing however. It sounds like it could be plastic surgery, but I'm not so sure. I don't know what she means by "they never seem to KNOW it's me".

Really strange, that stanza right there. I'd guess that maybe the surgery she underwent at age 17 was pretty traumatic. It could be that her family doesn't really seem to recognize her anymore.

But, the CAKE part is pretty obvious, obviously she's woke up during the middle of surgery and she's freaking out! lol.

The doctor is standing over her, is the first thing she sees.

Suddenly, she finds herself WIDE AWAKE, clenching teeth from pain of surgery. Next, she hears the doctor say something to her sort of but not really as he isn't expecting her to be conscious to hear him say it.

So, after she hears her doctor say 'open up!' she see's her own (I'm going to take guess based off of the LOBOTOMY statement) BRAINS covering her body.

She sees her own brain tissue covering her body, and is likely horrified by it. Also, she said she doesn't remember what she looked like before he got to her, might have to do with the lobotomy. Probably, when her brain surgery treated her, by cutting out the target brain tissue she can't remember squat anymore.