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Orright, now, you've just got to stop this fascination with playing with organs.  

"gets old" seems to abrupt, I want that line to meander a bit, like "gets old after a while" but obviously not precisely that, because that's dull.  Still, as it is it doesn't sound quite weary enough.  

I wonder about "a nice y incision" compared with "a neat y incision" or even bloody, or bloodless if you prefer, or cold.  Nice is... well... it's ironic but not quite enough.

I do think it closes up rather nicely (no pun intended).