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A surgical strike was a military attack aimed at destroying only key military objectives.
In 2154, Minister Kuvak suggested using a surgical strike against the Syrrannites in Vulcan's Forge, in order to apprehend them and minimise casualties. However, Administrator V'Las replied that the geomagnetic anomalies made a precision attack impossible and that blanketing the area with photonic weapons was the only way. (ENT: "Awakening")