Besides the differences between North American and Japanese boxes, the designer expounds on the virtues of title placement (can't have it be covered by the shelf, can we?) and the importance of Derek's glowing hand (Uh oh, it's magic). He also discusses the title itself, noting that Under the Knife 2 was not the team's first choice, with subtitles such as "Surgeon's Oath" or "Under the Gun" also in the pot for consideration. And what of Nurse Angie's new maid cafe-inspired attire? Cail writes that "I hope that gives you cosplayers out there some extra inspiration this year at anime conventions." Man, it's like you read our minds. Creepy.