Crossword Genius

Impudence, playing notes that may be surgically removed (9)

Ross

I believe the answer is:

gallstone

I'm a little stuck... Click here to teach me more about this clue!

'impudence playing notes that may be surgically removed' is the definition.
Although both the answer and definition are singular nouns, I cannot understand how one could define the other.

'impudence playing notes' is the wordplay.
'impudence' becomes 'gall' (synonyms).
'playing' is an anagram indicator.
'notes' is an anagram of 'stone'.
'gall'+'stone'='GALLSTONE'

Can you help me to learn more?

(Other definitions for gallstone that I've seen before include "Small hard secretion formed in the body" , "Concretion of cholesterol, lime salts, etc" , "Let Anglos suffer with small hard mass in body" , "It's removed in hospital" , "Problem for bile ducts" .)

I've seen this clue in The Daily Express.
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