We investigate topology change in (1 + 1) dimensions by analysing the scalar-curvature action at the points of metric-degeneration that (with minor exceptions) any non-trivial Lorentzian cobordism necessarily possesses. In two dimensions any cobordism can be built up as a combination of only two elementary types, the `yarmulke' and the `trousers.' For each of these elementary cobordisms, we consider a family of Morse-theory inspired Lorentzian metrics that vanish smoothly at a single point, resulting in a conical-type singularity there. In the yarmulke case, the distinguished point is analogous to a cosmological initial (or final) singularity, with the spacetime as a whole being obtained from one causal region of Misner space by adjoining a single point. In the trousers case, the distinguished point is a `crotch singularity' that signals a change in the spacetime topology (this being also the fundamental vertex of string theory, if one makes that interpretation). We regularize the metrics by adding a small imaginary part, whose sign is fixed to be positive by the condition that it lead to a convergent scalar field path integral on the regularized spacetime. As the regulator is removed, the scalar density approaches a delta-function, whose strength is complex: for the yarmulke family the strength is , where is the rapidity parameter of the associated Misner space; for the trousers family it is simply . This implies that in the path integral over spacetime metrics for Einstein gravity in three or more spacetime dimensions, topology change via a crotch singularity is exponentially suppressed, whereas appearance or disappearance of a universe via a yarmulke singularity is exponentially enhanced. We also contrast these results with the situation in a vielbein-cum-connection formulation of Einstein gravity.