The lyrics of "Open Heart Surgery" revolve around a tumultuous relationship where the singer is asking for care and precision from their partner. The singer reflects on past wounds caused by careless actions and expresses a sense of vulnerability and confusion, as well as a desire for understanding and communication in order to avoid further heartbreak.

Meaning of "Open Heart Surgery" by Beth Ditto

"Open Heart Surgery" delves into the complexities of relationships, particularly those filled with confusion, misunderstanding, and vulnerability. The singer opens up about past experiences where they were hurt by a partner's careless actions, leading to emotional wounds that still haunt them. The lyrics touch on themes of trust, communication, and the importance of listening to intuition in order to avoid repeating past mistakes. The reference to "open heart surgery" serves as a metaphor for the emotional pain and vulnerability that can result from a lack of care and consideration in relationships. Ultimately, the song paints a picture of a profound emotional struggle and the hope for healing and understanding in the face of past wounds.