Cheapest priced copy (Avacyn Restored): $0.49 at Card Kingdom, near mint, their price list as of .
Gloom Surgeon 
Creature — Spirit · 2/1 · Rare · Avacyn Restored · #104
If combat damage would be dealt to this creature, prevent that damage and exile that many cards from the top of your library.
Legal inCommanderModernLegacyVintage
Not legal inBrawlStandardPioneerPauper
1 printing · $0.49 at Card Kingdom
| Set | Number | Rarity | Card Kingdom | Foil |
|---|---|---|---|---|
| Avacyn Restored | 104 | Rare | $0.49 | $0.49 |
2 rulings from Wizards of the Coast
- 1 May 2012If damage that can’t be prevented (such as the damage Malignus deals) is dealt to Gloom Surgeon, you’ll still exile cards from your library.
- 1 May 2012Combat damage that would be dealt to Gloom Surgeon will be prevented even if you can’t exile that many cards from the top of your library.