straighten out

means to duff somebody...kill em. Kill a dude them have the morgue staighten him out so they can put him in the casket.

..."I'm about to go straighten out this homo"

Mike: "Aye, you hear about Chris?"
Tony: "Yea, I heard some dude from Philly came to town and straightened his ass out, I guess it was some old business."

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Getting straightened out

To be made in a mafia family or become a made-guy. To get fully inducted into the family.

Vinnie getting straightened out means he is now a made man in the family.