Cryptic crossword clue
Fine surgical saw three-pin plugged

The most common and most likely answer to this crossword clue is the 8 letter word TREPHINE

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Buddy explains!

The straight part
We know that "Fine surgical saw" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case fine surgical saw = trephine.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does TREPHINE mean?

TREPHINE noun
  1. A surgical instrument with a cylindrical blade used to remove a circular section of tissue, f.e. bone or cornea; a trepan.
TREPHINE verb
  1. To use a trephine during surgery.
  2. To perforate with a trephine.

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