Shotgun Surgeon

 is a perk in Fallout: New Vegas.

Effects
With this perk, your precision with a scattergun is something to behold. When using shotguns, regardless of ammunition used, you ignore an additional 10 points of a target's damage threshold.

Behind the Scenes
The name of this perk is likely a reference to the movie Kill Bill Volume 2, where a shotgun-wielding assassin mentions that her accuracy with the weapon is like that of a surgeon's.