Learn English idioms with meanings and examples

🌎Region: International 📊Difficulty Level:intermediate

go under the knife

To have surgery; to undergo an operation, especially a medical procedure involving cutting.

A figurative reference to a surgeon’s knife/scalpel. “Under the knife” has been used since the 19th century to mean being operated on; “go under” emphasizes undergoing the procedure (often with anesthesia).

Common, informal way to say “have surgery.” Can sound a bit graphic; in formal/medical contexts, “undergo surgery” is safer.

  • After months of pain, she finally decided to go under the knife for a knee replacement.
  • He went under the knife last week to remove his appendix, and he’s already back at work.
  • The actor refused to go under the knife and chose physical therapy instead.
  • If the infection doesn’t clear up soon, you may have to go under the knife.
  • She was nervous about going under the knife, but the surgeon explained the procedure in detail.

Usually used as “go under the knife” or “have to go under the knife.” Tense can change (went/going). Often followed by “for + condition/body part” (e.g., for her knee).

  • have surgery
  • undergo surgery
  • have an operation
  • go in for surgery
  • avoid surgery
  • treat non-surgically