Abstract. By using a novel temporal characterization technique, we determined that a threshold average laser power of 160 mW is required to drill through a 0.75-mmthick cortical bone for a Nd: YVO 4 mode-locked laser oscillator with a peak intensity of 1.3 GW/ cm 2 . The ablation mechanism is identified as average-power induced carbonization followed by peak-power induced avalanche ionization in the carbonized osseous tissue. Surgical operation of bone slicing and drilling is usually performed with mechanical tools, such as cutting saws and hand drills. The shortcomings of those mechanical tools include high material loss, poor surface evenness, potential fragment contamination, significant tissue vibration, and so on. It is perceived that an appropriate laser source might replace those mechanical tools for bone surgery and alleviate those shortcomings. Laser ablative removal of osseous tissues and its accompanying effects have been studied in the past. For example, continuous-wave ͑CW͒ and long-pulse ͑ns to ms͒ infrared lasers, such as the CO 2 laser, Ho: YAG laser, and Er: YAG laser, were used for heating and evaporating osseous tissues near the 2.9-m water absorption wavelength or the 10-m calcium-phosphate absorption wavelength.