Pauline is a brilliant but awkward (okay, weird) teenager just beginning to get in touch with her sexuality. Her dreams are a bizarre mixture of half-naked bodies, fetishized hospital settings, and blood, and it becomes increasingly clear that the blood is what turns her on.
In her waking life, she approaches her sexuality clinically, in keeping with her desire to become a surgeon. She chooses a boy and proposes that she lose her virginity to him. After an awkward experience with the boy in a rented motel room and a number of attempts by her mother to make her into a "normal" girl, Pauline moves on to a new project - teaching herself to perform surgeries.
Specifically, she wants to perform the difficult, risky lung transplant that her parents can't afford for her younger sister with Cystic Fibrosis. But you can't do a lung transplant without donor lungs, so...
Excision is more of a dark family drama (with a very dark sense of humor poking through now and then) than a traditional horror movie. It's a look at how hard it can be to be different and misunderstood, and a call for people to get the psychological help they need when they need it. But for all that, it's also a trippy, disturbing, bloody - oh, so bloody - take on body horror, and worth a look as a horror "deep cut."
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