If they used a knife, there would be lots of bleeding, but they usually don’t. They essentially burn their way through tissue with something nicknamed a “[Bovie](https://en.m.wikipedia.org/wiki/Electrosurgery)” so most vessels they pass through are burned closed as quickly as they are cut. If they hit a big vessel, they can tie it off with a string. If they have a lot of bleeding from small vessels, they can put down a cloth that is soaked in the natural compounds which promote clotting and stop bleeding. Many surgeries involve very little blood loss.
Interestingly, the burning flesh needs to be vacuumed away from the surgical area because it can increase risk of cancer if you breathe too much of it.
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