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Unless there's something I'm missing, Surgical Extraction is kind of a wasted space. Part of the amazingness of the card is that it takes all/most copies of cards out of play, but in EDH, there's only 1 copy of each card.Maybe add a Breaking (// Entering) instead if you're going for mill.
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Mill isnt the idea. The idea for the most part is exile they're library. Surgical extraction prevents a shuffle trigger from ulamog/kozilek/progenitus, etc, allowing me to mill them if need be.