Excision (2012) — AI Story Visualization

Plot Analysis Summary

Pauline's pursuit of surgical mastery turns family desperation, alienation, and delusion into a horrifying domestic operation.

Story Structure — 5 Plot Phases

Blood Dreams And Family Strain

Pauline's disturbing fantasies and surgical ambition are introduced alongside her dysfunctional family. Grace's illness and Phyllis's controlling behavior establish the domestic pressure.

Key Events

• Pauline's Surgical Ambition — Pauline is introduced as disturbed, delusional, and aspiring to become a surgeon. Characters: Pauline Location: Pauline's home
• The Family's Strain — The dysfunctional family includes a controlling mother, strained marriage, and seriously ill Grace. Characters: Pauline, Phyllis, Bob, Grace Location: Family home
• Blood-Filled Dreams — Pauline dreams of mutilation and wakes panting in an orgasmic state. Characters: Pauline Location: Pauline's bedroom
• Pauline Chooses Adam — Pauline decides to lose her virginity to Adam while menstruating. Characters: Pauline, Adam Location: School

A Sexual Experiment

Pauline initiates sex with Adam while menstruating and reacts to the encounter through violent fantasies. Adam's disgust exposes the gap between Pauline's desires and social expectations.

Key Events

• Sexual Encounter — Pauline and Adam have sex, and Pauline imagines choking him amid blood. Characters: Pauline, Adam Location: Adam's bedroom
• Blood Disgusts Adam — Adam performs oral sex, tastes blood, and runs to the bathroom in disgust. Characters: Pauline, Adam Location: Adam's bedroom
• Blood Under The Microscope — Pauline examines her blood under a microscope to check for sexually transmitted diseases. Characters: Pauline Location: Sex education classroom

Public Humiliation

Pauline reveals the encounter to Adam's girlfriend, causing their breakup. Retaliation at Pauline's home and her assault at school result in expulsion.

Key Events

• Pauline Exposes Adam — Pauline alludes to her encounter with Adam while he is with Natalie. Characters: Pauline, Adam, Natalie Location: School
• Natalie Ends Relationship — Natalie breaks up with Adam after learning about his encounter with Pauline. Characters: Adam, Natalie Location: School
• House Harassment — Natalie and a friend cover Pauline's house with toilet paper and profanities. Characters: Pauline, Natalie Location: Pauline's house
• School Assault — Pauline assaults Adam and Natalie and is consequently expelled. Characters: Pauline, Adam, Natalie Location: School

The Desperate Solution

Pauline learns that Grace may need a lung transplant and witnesses Grace's worsening condition. She responds by restraining Bob, incapacitating a neighbor, and drugging Grace.

Key Events

• Transplant Waiting List — Pauline overhears her parents discussing Grace's possible lung transplant. Characters: Pauline, Phyllis, Bob, Grace Location: Family home
• Grace's Coughing Crisis — Grace suffers a severe coughing fit, intensifying Pauline's urgency. Characters: Pauline, Grace Location: Family home
• Bob Is Restrained — Pauline drugs Bob's tea and ties him up before proceeding with her plan. Characters: Pauline, Bob Location: Family home
• The Neighbor Is Lured — Pauline lures a neighbor to the backyard and uses chemicals to knock her out. Characters: Pauline Location: Backyard
• Grace Is Drugged — Pauline drugs Grace before attempting the unauthorized transplant. Characters: Pauline, Grace Location: Family home

The Garage Surgery

Pauline performs an unauthorized lung transplant and preserves Grace's diseased lungs on ice. Phyllis discovers the scene, and Pauline's pride collapses into hysterical grief.

Key Events

• Grace Is Drugged — Pauline drugs Grace before attempting the unauthorized transplant. Characters: Pauline, Grace Location: Family home
• Pauline Begins Surgery — Pauline shaves her head and begins transplanting healthy lungs into Grace. Characters: Pauline, Grace Location: Garage
• Lungs Placed On Ice — Pauline places Grace's diseased lungs on ice and stitches both girls up. Characters: Pauline, Grace Location: Garage
• Phyllis Finds Bob — Phyllis arrives, panics at Bob's bound and gagged state, and searches for her daughters. Characters: Phyllis, Bob Location: Family home
• Garage Discovery — Phyllis finds Pauline in the garage with the two girls' bodies. Characters: Pauline, Phyllis, Grace Location: Garage
• Pauline Claims Her Surgery — Pauline calls it her first surgery and urges Phyllis to look more closely. Characters: Pauline, Phyllis Location: Garage
• Embrace And Breakdown — Phyllis screams before embracing Pauline, who first smiles proudly and then begins to wail. Characters: Pauline, Phyllis Location: Garage

Story Breakdown

• Pauline's Distorted Vision — Pauline's fantasies and ambitions establish her unstable perspective and fascination with blood.
  • Surgical Ambition — Pauline aspires to a career as a surgeon.
  • Mutilation Dreams — She repeatedly dreams of mutilation and blood.
• Dysfunctional Family — The family environment combines Grace's illness, Phyllis's control, and a strained marriage.
  • Grace's Cystic Fibrosis — Grace's disease creates the medical crisis.
  • Strained Marriage — Phyllis and Bob have a troubled marriage.
• Adam And Social Fallout — Pauline's sexual experiment triggers humiliation, retaliation, and expulsion.
  • Blood Encounter — Adam reacts with disgust during their encounter.
  • School Assault — Pauline attacks Adam and Natalie and is expelled.
• Grace's Medical Crisis — News of a possible transplant and Grace's coughing fit intensify Pauline's urgency.
  • Waiting List — Pauline overhears discussion of Grace's transplant waiting list.
  • Severe Coughing — Grace suffers a serious coughing episode.
• Pauline Takes Control — Pauline removes obstacles and incapac​​itates the people involved in her plan.
  • Bob Restrained — Pauline drugs Bob's tea and ties him up.
  • Grace Drugged — Pauline drugs Grace before the operation.
• The Garage Transplant — Pauline turns her surgical fantasy into a real operation, ending in discovery and emotional collapse.
  • Lungs Replaced — Pauline transplants healthy lungs into Grace.
  • Phyllis Responds — Phyllis screams, embraces Pauline, and witnesses Pauline's breakdown.

Directed by

Richard Bates Jr.

Key Cast

• AnnaLynne McCord — Pauline
• Ariel Winter — Grace
• Roger Bart — Bob
• Jeremy Sumpter — Adam
• John Waters — William