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: Director Tom Six famously claimed the film's procedure was "100% medically accurate" after consulting with a Dutch surgeon. The Casting Exodus

Upon its release, The Human Centipede sparked widespread controversy and debate. The film's graphic content, including scenes of surgical procedures, gore, and prolonged suffering, led to calls for censorship and bans in several countries. However, the film also attracted praise from critics and audiences alike, who recognized its technical achievements, bold storytelling, and unflinching commitment to its vision.