Well, that'll handle the trach, but if you can do an open appy with a pen and a knife, I'd be seriously impressed. Anyway, the "black bag" includes drape, sterile gloves, scalpel (he later explained how to get those onto planes), basic surgical tools, 3 different IV antibiotics, strong narcotic analgesics (he was less forthcoming about these), and a variety of other things, for various contingencies. There are a number of issues with operating in free-fall, dealing mostly with positioning, and being unable to get gravity assisting you in moving viscera and blood around. I would thing sterility would be a somewhat lesser concern that could be addressed with draping and antibiotics. Of course, figuring out which other astronaut gets to be your scrub nurse is a whole different story. In any case, anything beyond the most minor of surgeries is pretty much going to be off the table (zing!).