Patient is prepped, which includes shaving the head of the patients and drawing a big X on the head to be removed (in case of the presence of multiple heads), then the patient is wheeled in. Surgeons come in and excise the head, typically at the Adam's apple. Instruments used vary on personal preference, but scalpels, meat cleavers, and chainsaws are the most commonly used. At this point the surgeons stand around chatting for the next three hours about what field they really wanted to be in. Next, the surgeons walk to the nearest bar and meet up with the lawyers and the realtors. Patient is wheeled out and then billed outrageously. The head is then sold at auction, most often to a modern headhunter.