During the American Civil War about three quarters of all operations performed (about 60,000) were amputations. “The amputation and surgical set consists of a rectangular, wood case with hinged lid and fourteen instruments. Both the lid and the bottom of the case are lined with faded, red velvet with compartments fitted to the instruments. The instruments are a capital saw, a rongeur, a tourniquet, two trephines (one with a brass handle, one with ebony handle), two knives (ebony handles), four pair of tweezers, a director, a lancet, and a Hey’s saw.” [Source: http://digital.lib.ecu.edu/13941]