There is a medical distinction. We've all heard about people having guts or balls, but do you really know the difference? In an effort to keep you informed, the definitions are listed below:
GUTS - Is arriving home late after a night out with the guys, being met by your wife with a broom, and having the guts to ask: 'Are you still cleaning, or are you flying off somewhere?'
BALLS - Is coming home late after a night out with the guys, smelling of perfume and beer, lipstick on your collar, slapping your wife on the butt and having the balls to say: 'You're next, Chubby.'
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Guts & Balls: A Matter of Definition
Active Ink Slinger
Oh, I don't have the guts to do this.