I believe the fish is signifying freedom. Fish normally swim in the ocean..free.
The dream means this person is going through a major change in their life that is going to make them feel like part of their freedom is gone. Possibly marriage. Moving to a new strange (or possibly violent) place..such as mission trips.
But, as the fish is removed from their body healing will begin and the transition will not be as bad as presumed.
SBengeRN
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