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The scar she has on Sons of Anarchy is fake. Added by the make-up artist.

http://www.nytimes.com/2008/11/09/arts/television/09cath.HTML?ref=television&pagewanted=all

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Q: When did Katey Segal have heart surgery?
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Did katey segal die?

no.. she is on sons of anarchy


Did Katey Segal quit smoking?

no she hasn't


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Did Katie Sagal have heart surgery?

The scar on her chest in the tv series "Sons of Anarchy" is only a fake. the show has not yet laid out the story line for the scar. This storyline is alluded to in the very first episode when Abel is born and Tara (the doctor) is talking about the baby health problems, including the hole in his heart, and Gemma (Katey Sagal) says something the like "Oh the CHD (congenital heart defect)...the family curse" which her other son died from and she obviously had surgery to correct hers as well.