A surgical instrument comprising: a handle located at a proximal end of the surgical instrument adapted for gripping by a user; an insertion end comprising a first lumen and a second lumen, the first lumen and the second lumen each having a distal end comprising a closed distal terminal end portion and an open proximal end portion attached to the handle; the first lumen extending along a longitudinal axis of the surgical instrument, an inner bore of the first lumen extending from the open proximal terminal end portion of the first lumen to the closed distal terminal end portion of the first lumen, the first lumen including only one nozzle formed in a side wall proximate to the closed distal terminal end portion, the nozzle configured to enable a jet of fluid to exit the nozzle; and the second lumen extending parallel to the first lumen along the longitudinal axis, an inner bore of the second lumen extending from the open proximal terminal end portion of the second lumen to the closed distal terminal end portion of the second lumen, the inner bore of the second lumen having an inner diameter greater than an inner diameter of the first lumen, the first lumen is connected to the second lumen from the proximal end of the insertion end to the closed distal terminal end portions of the first lumen and the second lumen, the second lumen including an aperture formed in a side wall of the second lumen such that the portion of the side wall of the second lumen forming the aperture is disposed abutting and opposite the side wall of the first lumen forming the nozzle to receive the jet of fluid therein, wherein the first lumen is directly connected to the second lumen from the proximal end of the insertion end to the closed distal terminal end portions of the first lumen and the second lumen, the connection interrupted by the aperture; wherein the closed distal terminal end portion of the first lumen is located proximal to the closed distal terminal end portion of the second lumen; and wherein the surgical instrument in operation provides a cutting and suction force formed at the aperture of the second lumen, the suction force selectively drawing a first tissue type from a plurality of different tissue types located in a surgical site into the aperture and the cutting force cutting the first tissue type. a handle located at a proximal end of the surgical instrument adapted for gripping by a user; an insertion end comprising a first lumen and a second lumen, the first lumen and the second lumen each having a distal end comprising a closed distal terminal end portion and an open proximal end portion attached to the handle; the first lumen extending along a longitudinal axis of the surgical instrument, an inner bore of the first lumen extending from the open proximal terminal end portion of the first lumen to the closed distal terminal end portion of the first lumen, the first lumen including only one nozzle formed in a side wall proximate to the closed distal terminal end portion, the nozzle configured to enable a jet of fluid to exit the nozzle; and the second lumen extending parallel to the first lumen along the longitudinal axis, an inner bore of the second lumen extending from the open proximal terminal end portion of the second lumen to the closed distal terminal end portion of the second lumen, the inner bore of the second lumen having an inner diameter greater than an inner diameter of the first lumen, the first lumen is connected to the second lumen from the proximal end of the insertion end to the closed distal terminal end portions of the first lumen and the second lumen, the second lumen including an aperture formed in a side wall of the second lumen such that the portion of the side wall of the second lumen forming the aperture is disposed abutting and opposite the side wall of the first lumen forming the nozzle to receive the jet of fluid therein, wherein the first lumen is directly connected to the second lumen from the proximal end of the insertion end to the closed distal terminal end portions of the first lumen and the second lumen, the connection interrupted by the aperture; wherein the closed distal terminal end portion of the first lumen is located proximal to the closed distal terminal end portion of the second lumen; and wherein the surgical instrument in operation provides a cutting and suction force formed at the aperture of the second lumen, the suction force selectively drawing a first tissue type from a plurality of different tissue types located in a surgical site into the aperture and the cutting force cutting the first tissue type.