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.

Background
The name of this perk is a reference to the movie Kill Bill Volume 2, when the Bride asks assassin Karen Kim if she's any good with her shotgun, Kim replies "Not that I have to be at this range, but I'm a f$%#ing surgeon with this shotgun!"