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In many MMORPG games, the term "Surgical" usually means someone is acting both cocky and n00bish, which means that the surgical person thinks they are very great, when they are a complete idiot. This [originated] from a player on [World of Warcraft] by the name of Surgical who acted this way. People often made fun of him, but Surgical would lash back in anger or mistake the insults as flattery. Insulting him soon spread to a server-wide joke, and later gained [popularity] elsewhere. The server this originally took place at was "Black Dragonflight"
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