Surgery reminder in Christmas card (4)
I believe the answer is:
scar
'surgery reminder' is the definition.
(I've seen this in another clue)
'in christmas card' is the wordplay.
'in' indicates a hidden word.
'SCAR' is hidden in the letters of 'christmas card'.
(Other definitions for scar that I've seen before include "evidence of damage" , "Skin blemish - bare crag" , "Old-wound mark" , "Mark left by old wound" , "Fish" .)