scalpel
Cheats recipe will guide you to the creation of scalpel from starting items.
How to make scalpel in Little Alchemy 2?
water + water = 
puddle- water + puddle =
pond - water + pond =
lake - water + lake =
sea 
fire + 
earth = 
lava- lava + sea =
primordial soup - earth + lava =
volcano - volcano + primordial soup =
life - life + primordial soup =
bacteria 
air + air = 
pressure- earth + pressure =
stone - water + earth =
mud - mud + stone =
clay - life + clay =
human - human + bacteria =
sickness - fire + mud =
brick - brick + brick =
wall - wall + wall =
house - house + sickness =
hospital - fire + stone =
metal - stone + metal =
blade - blade + hospital = scalpel