Detailed consultation with the anesthesia department. Intubation with a laser tube. Adjustment of the larynx with a small water tube and repeated assessment of the tumor under microscopic control. The tumor does not quite reach the anterior commissure and fills the entire right vocal fold, which is clearly thickened. Using the CO2 laser at 3 W, the tumor is now carefully cut around under microscopic control. Clinically, macroscopically and microscopically in healthy tissue. The tumor is successfully removed laterally, caudally, posteriorly and anteriorly in toto. Repeated hemostasis with monopolar coagulation and Otriven swabs. No more bleeding. Removal of circular margin samples. Sending the material for frozen section. These are all found to be tumor-free. Repeated check of the situs. No more bleeding. Removal of the small drainage tube. Detailed consultation with the anesthetist. Wait for the definitive histology. Plan control endoscopy in 3 months.