Scalpel

A scalpel is a medical tool used to create incisions. Considered crude by 24th century standards, their function is usually taken over by laser scalpels.

The Cardassian Doctor Crell Moset preferred using a scalpel in his surgeries, as he believed that more advanced implements "removed" doctors from their subjects. (VOY: "Nothing Human")

In 2367, the phasers of the USS Enterprise-D were used like a scalpel to excise an infant spaceborne lifeform dubbed Junior from its deceased mother. (TNG: "Galaxy's Child")

In 2373, The Clown created a scalpel in his virtual reality to invoke Harry Kim's traumatic childhood experiences. However, The Doctor corrected the positioning of The Clown's index finger in order to attain "optimal dexterity." (VOY: "The Thaw")