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The act of removing a douchbag from ones life.
Sally: Brad blew me off again last night.
Susie: You just need to perform a douchectomy on him.
The surgical removal of douchebaggery from an infected individual. This procedure is very risky and is typically performed only in emergencies; in severe cases where the douchebaggery has had time to metastasize the operation is often fatal.
"Listen guys, I know it's bad, but it's just too late! If we give him a douchectomy now it's going to kill him: the disease has spread so far that there won't be anything left you can see without a microscope!
....Hell, maybe that ain't so bad."