Our cutting algorithm can produce continuous cut surfaces when traditional minimal element creation algorithm fails. Our GPU-accelerated deformation algorithm remains stable with constant time step under multiple arbitrary cuts and works on both NVIDIA and AMD GPUs. GPU-CPU speed ratio can be as high as 10 for models with 80,000 tetrahedrons. Forty to sixty percent real-time performance and 100-200 Hz simulation rate are achieved for the liver model with 3,101 tetrahedrons. Major bottlenecks for simulation efficiency are cutting, collision processing and CPU-GPU data transfer. Future work needs to improve on these areas.