After active patient identification and team time-out, anesthesia is induced by the anesthesia colleagues. Entry with the mouth guard while protecting the teeth. The tongue is then looped and the left edge of the tongue inspected. This reveals a large exulcerating, rather flat mass in the middle to posterior third of the tongue. First cut around a wedge with the scalpel. Then free dissection with scissors. Then hemostasis with bipolar forceps. The specimen is sent for intraoperative frozen section. The intraoperative frozen section revealed no evidence of malignancy. The decision was therefore made to perform an excisional biopsy. Incision of the findings with the electric needle. Subsequent hemostasis with bipolar forceps. Sending the specimen for final histology. Please wait for the final histology and, if necessary, present the case at our interdisciplinary tumor conference.