Operation with a Twist

My challenge for myself today was a birthday card with a twist - Cavity Sam from the game Operation.  The card is for our neighbor to go along with the classic game we are giving her for her birthday.  Thanks to inspiration from Blinkin', Thinkin', and Inkin', this challenge is a piece of cake!  Here is my finished card!

I used pretty much all basic shapes from my Sizzix Eclips library.  The only parts not in the library are the wishbone and wrench.  The sentiment inside says, "It doesn't take brain surgery to know you deserve a Happy Birthday!"