Excision is one of those films I’ve been meaning to watch for what feels like forever. I’ve heard about it from every horror fan I know and seen it on dozens of rec lists, but somehow I never got around to it until now. Admittedly, I was a little concerned that it wouldn’t live up to the hype; that turned out not to be the case, and though I felt like I had already heard so much about it, I was still taken by surprise by how good and in-your-face gruesome it is.
The film centers around Pauline, a misfit high school senior with a tense home life and an obsession with surgery. It’s immediately evident, from the film’s opening scene onward, that her fascination is darker and more complicated than a simple interest in medical science. Pauline’s visually elaborate sexual fantasies are filled with blood and mutilation and occasionally veer into necrophiliac territory. The scenes are grotesque and stunning from a visual point of view, and they leave you repulsed and wondering when — not if — Pauline’s fantasies are finally going to spill over into real life.