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under the knife

British pronunciation/ˌʌndə ðə nˈaɪf/
American pronunciation/ˌʌndɚ ðə nˈaɪf/
under the knife
[PHRASE]
1

used when someone is about to undergo a medical operation

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under the knife definition and meaning

What is the origin of the idiom "under the knife" and when to use it?

The idiom "under the knife" originated from the field of surgery, where the knife represents the surgical instrument used for incisions. It has been used metaphorically since the early 20th century to refer to undergoing a surgical procedure. It is used to describe the act of undergoing a surgical operation or procedure. It implies that someone is undergoing a medical intervention that involves the use of a surgical instrument, such as a scalpel.

Examples
1The patient consented to be put under the knife to remove the tumor.
2He died under the knife, aged 65.
3Then we're going to get it all under the knife and go over here.
4- Would you ever marry a woman who's never been under the knife?
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