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
This perk references a line from the film "Kill Bill 2": "You any good with that shotgun?" "Not that I have to be at this range, but I'm a fucking surgeon with this shotgun." "Well, guess what, bitch? I'm better than Annie Oakley and I've got you right in my sights, so let's talk."