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Answer for the clue "Having conducted surgery, pipes up about working to finish all off ? ", 17 letters:
take no prisoners

Word definitions for take no prisoners in dictionaries

Wikipedia Word definitions in Wikipedia
Take No Prisoners is the debut solo album of British rock singer David Byron . It was released whilst he was still vocalist for Uriah Heep and features Heep bandmates Mick Box and Lee Kerslake .

Usage examples of take no prisoners.

If the Tuigan got through, it was clear they intended to take no prisoners.

Strike like lightning, take no prisoners, and attack, attack, attack!