The Incredible 2 Headed Transplant 
  This
 one came out in the early 70s when a bunch of the "two headed" themed 
movies came out but this may be the nastiest of the genre that I have 
seen. This one is about a serial killer/rapist who kills a family but 
escapes from prison after being arrested who ends up at the doorstep of a
 doctor obsessed with doing head transplants on the living. After 
hunting the killer down he kidnaps the doctors wife the doctor 
transplants his head onto a big retarded man's body who works for him as
 a gardener.
The two headed freak then kidnaps the doctors wife again and the chase to rescue her then begins again.
The two headed freak then kidnaps the doctors wife again and the chase to rescue her then begins again.

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