Brilliant with a scalpel, lousy with directions.

Even without a scalpel (surgical knife) you cut people up.

Let me get my hand on a scalpel again and you shall see.

Lithotripsy saving thousands of people a year from the scalpel by pulverizing stones with high intensity sound.

You grab your scalpel you sharpen it you're getting ready to cut the dude, you say By the way, what are your views on civil rights, old baby?

SOPA was the bill that was intended to curtail online piracy of music and movies, but what it did was basically take a sledgehammer to a problem that needed a scalpel.

We are evidently facing the mystery of Russian thought that has proved so unfathomable to others, so unyielding to every analytical scalpel, and about which our Slavophiles and Eurasians wrote at length.