YOU SAID:

you got to knock it out before you preform surgery

INTO JAPANESE

手術を行う前にそれをノックアウトする必要があります

BACK INTO ENGLISH

You need to knock it out before performing surgery

INTO JAPANESE

あなたは手術を行う前にそれをノックアウトする必要があります

BACK INTO ENGLISH

You need to knock it out before performing surgery