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No one needs a scalpel, it's just that a scalpel does the job better than others, and is relatively cheap. Also, the blades of a scalpel needs changing because it is extra sharp, thus extra thin, sharpness and durability is a tradeoff I'm willing to take.You don't even need a scalpel. Those small cutter knives (not by any table tennis brand, those are bad) that are made of metal do the job well and I don't even have to change the blade each cut, but every 10-20.