Large language models (LLMs) have revolutionized various domains, yet their utility comes with significant challenges related to outdated or problematic knowledge embedded during pretraining. This paper addresses the challenge of modifying LLMs to unlearn problematic and outdated information while efficiently integrating new knowledge without retraining from scratch. Here, we propose LLM Surgery, a framework to efficiently modify LLM behaviour by optimizing a three component objective function that: (1) Performs reverse gradient on unlearning dataset (problematic and outdated information), (2) Performs gradient descent on the update dataset (new and updated information), and (3) Minimizes the KL divergence on the retain dataset (small subset of unchanged text), ensuring alignment between pretrained and modified model outputs. Due to the lack of publicly available datasets specifically tailored for our novel task, we compiled a new dataset and an evaluation benchmark. Using Llama2-7B, we demonstrate that LLM Surgery can achieve significant forgetting on the unlearn set, a 20\% increase in accuracy on the update set, and maintain performance on the retain set.