"Excision" is a consistently interesting concoction from the mind of writer / director Richard Bates Jr. Combining straight drama, horror, and very dark comedy, it's twisted to its core, with a very memorable character driving the plot forward.
That character is Pauline (AnnaLynne McCord, in an utterly fearless performance), a strange and off putting teenage girl living with a sister (Ariel Winter) who has cystic fibrosis, a reserved father (Roger Bart), and a demanding mother (long ago porn queen Traci Lords, who finally gets a chance to show some real acting chops) whose love Pauline desperately tries to win, while deluding herself into thinking she could have a career in surgery.
Some of the cast members (Malcolm McDowell, Ray Wise, Matthew Gray Gubler, John Waters (as a reverend!) and especially Oscar winner Marlee Matlin) have what amount to little more than cameo roles, but it's still nice to see all of these familiar faces. Anyway, McCord and Lords do a fine job of carrying the movie, and their scenes are uncomfortable as they're clearly meant to be yet undeniably compelling.
Bates sets his story in a typically placid looking suburbia which serves as an appropriate contrast to the bizarre psycho sexual elements of his plot. He serves up plenty of grotesque, bloody imagery for the horror crowd yet films it all in such a slick way that it's oddly beautiful. He takes full advantage of the 2.35:1 aspect ratio in which the movie is shot, considering the way he arranges actors and objects within the frame.
Adventuresome cult movie lovers tired of the soulless quality of bigger budgeted studio based productions should appreciate the daring with which Bates approaches this material. Once it's all over it's the kind of thing you *don't* easily forget; the ending is not that surprising but it's pretty devastating just the same.
Seven out of 10.
