Introductory consultation with the anesthesia colleagues. First, pharyngoscopy again: Relatively flat, exophytic tumor is seen in the area of the left uvula, growing towards the anterior and posterior palatal arch, but overall rather superficial growth. Now transoral resection: tumor is removed macroscopically on all sides in healthy tissue with a safety margin of 1 cm. The entire tonsil is resected caudally. The specimen is thread-marked and sent for frozen section. Here all margins in healthy tissue. Overall, the findings are now borderline with regard to defect coverage using a radial flap. Anterior and posterior palatal arch partially preserved. Due to this borderline function, decision to refrain from flap coverage for the time being. Wait and see whether regurgitation or dysphagia develops. In any case, neck dissection at intervals of one to two weeks, then with flap coverage if necessary. Finally, careful hemostasis again. On final inspection, no further evidence of blood flow. Final consultation with anesthesia colleagues. Completion of the procedure without complications.