surgial altercation
What ya get when ya move da "c" from da first word to da second. Since "Sergio" is a Spanish name, maybe this term refers to a dust-up dat occurs in a Mexican hospital during a disagreement over a tummy-tuck, breast-augmentation, sex-change operation, etc.
Some people are so horrified at their post-facelift appearance dat they actually get into a surgial altercation with da doctor or other staff.