IF Mrs Patel is a midget, i think this joke was about her.
Mrs Patel goes to the doctor complaining off a sore tiger.
The doc tell her to lie down on the couch and does his examination. He gets some scissors and a knife out and starts to cut and snip.
After he finished he ask's Mrs Patel how it is now.
She replies great, all the soreness had gone. She ask " what did you do doctor" ??
He replies "oh its was nothing i just cut off the top of your Wellington Boots"