The song "Brain Surgery" by Esham is a collaboration with Mastamind and Shoestring. The lyrics depict a dark and aggressive theme, focusing on violence, murder, and the manipulation of the mind. The song starts with Mastamind expressing his frustration with people who judge and disrespect him. He contemplates resorting to violent actions to assert his dominance and superiority. He mentions his lack of interest in those who try to act tough and conveys a sense of detachment and aggression towards them. Esham takes a similar aggressive approach in his verse. He challenges anyone who tries to step in his way, particularly those who idolize him. He boasts about his lyrical skills and describes himself as a heavyweight in the rap game. Esham also portrays himself as a troubled individual who needs therapy due to his dark and twisted thoughts. Shoestring contributes to the song by emphasizing his skills as a "brain surgeon." He claims to have the ability to penetrate people's minds and manipulate their thoughts. He compares his actions to performing surgery, suggesting that he can control and manipulate people's thinking. Overall, the song "Brain Surgery" conveys a sense of anger, violence, and manipulation. It explores dark themes associated with psychological control and the desire for power. The lyrics depict a narratively intense story of domination and aggression.