It's difficult, to say the least. Luckily, it's not as if she differs all that much in terms of strength compared to Shinra. What it really comes down to is the use of tools and, listening to him talking about how things don't hurt - something that's already apparent, but the lack of wincing at the digging in his side clarifies just how far it goes - leaves her with little hesitation when it comes to the thought of digging a scalpel in as well.

For now, though, she pulls herself back slightly, blood now streaked against the floor by her thanks to being too close to Shizuo. Then she reaches forward, leaving the forceps sticking out of his side while she grabs the leg closest to her and drags his hips toward her. It's to let him rest against the wall at more of an angle so she can see what she's doing with more ease as she pulls a scalpel out and resumes rooting around in the wound to try to pull the bullet out.

"So, you conditioned your body to be like this." It seems insane, honestly, but not the worst thing a person could do to themselves. His tolerance for pain is incredible, though that's just as likely to be the reason he dies one day. Hearing that he started throwing things as a kid, she can't help but wonder...

"Why?" She glances up after a particularly hard prod with her scalpel, one that manages to get the blade wedged between one side of the bullet and muscle. "Do you just have trouble controlling your anger?"