the present invention concerns a rongeur which includes a moveable arm and a stationary arm linked in a sliding relationship by a pair of spaced apart guides located on one of the arms and a pair of spaced apart passageways located on the other of the arms . a stationary handle is connected to the stationary arm and a moveable handle is coupled to the moveable arm to permit the moveable arm to operate between open and closed positions . also provided are at least two removable cutting tips which are releasably secured to the arms . the tips may be removed for sharpening and replaced by a replacement tip .