Although most of us are aware of the common forms of skin cancer, basal cell carcinoma, squamous cell carcinoma, melanoma, other types of skin sarcomas and carcinomas exist. While some may respond to radiation therapy, an operation to remove the cancer is the most common form of treatment. Early small skin cancers in non critical areas can usually be removed with local anesthesia as an office procedure. If the margins are indistinct, i.e. the edges are not clearly visible, or if they are in critical areas such as the eyelid, lips, nose, etc. then we utilize a micrographic technique. This procedure is performed as an outpatient procedure. When the skin cancer is removed, a pathologist who specializes in analyzing skin cancers uses a special technique to examine the edges of the removed specimen. This process is identical to Moh’s technique. Those skin cancers that require removal of one or more lymph nodes are performed in a hospital, usually as an outpatient procedure. The difficult part of treating skin cancers is not usually the excision, but the reconstruction to minimize any deformity or scars. Dr. Borkowski has performed more than 10,000 of these procedures. Most procedures can be performed in one hour.