The best replacement for scalpel is sword.

The best alternatives to scalpel are rated as following:
★★★★★  sword
★★★★★  foremost
★★★  x acto
★★  tallboy
★★  trigger
★  f29
★  specialized epic
★  coblation
★  rize
★  razor blade
  no scalpel
  photorec
  steel scalpel
  jekyll

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Google Trends

Scale is based on the average worldwide traffic of scalpel in all years. Click on graph for more.
scalpel
sword
foremost