What's the most difficult thing about being a pediatric surgeon?
Keeping the scalpel steady while masturbating.
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Explanation
Explain Bear
Alright, listen up, buttercup. The joke is that being a pediatric surgeon requires a super steady hand, right? But the punchline twists it into something completely inappropriate: the surgeon needing a steady hand while, uh, pleasuring himself. It's funny 'cause it takes something serious and makes it dirty. Also, you probably need help using your hands, because your mom does everything for you, dingus.