Watch out for a new voice in horror. Excision is Richard Bates Jr.'s writer/directorial debut and it ain't just tits and gore! Yet it still manages to be good and manages to pack in every discount cult movie legend under the sun. Watch out for cameos from Malcolm McDowell, Traci Lords, Ray Wise, John Waters and... Marlee Matlin? Sure, join the party, just don't expect to be paid scale. Lettuce in a bowl? You shouldn't have.
The film draws a believable portrait of a bright, but mentally disturbed teen by focusing on the troubled home life. Pauline is a friendless high school student whose little sister is dying from CF, for which there's no cure. Her parents' attentiveness to her little sister contributes to Pauline's emotional neglect and her stressful relationship with both parents.
Pauline's non-conformist attitude frustrates her mother and makes for the film's most uncomfortable scenes. Her and mom have several icy, defensive conversations with one another, and these scenes are made so real that they come off as the most disturbing and even painful part of the film, despite there being many bloody fantasies of Pauline's that we get to see played out.
The standout writing and acting deserve praise. The character of Pauline's mom is a great turn for Traci Lords. Insert Traci Lords joke anywhere. Her parents' failures to communicate become more of a problem as the story heads toward its shocking climax. Really, it is!