First, placement of a tongue tie suture. The McIvor spatula is then applied, which is considerably more difficult with restricted mouth opening. Finally, the described tumor is palpated in the area of the tonsil lobe, oropharyngeal side wall, extending into the base of the tongue. With alternate insertion of the tonsil retractor and mouth retractor, the tumor is resected with a distance of at least 1 to 1.5 cm, macroscopically on all sides in healthy tissue. The entire tonsil lobe, anterior and posterior palatal arch, larger parts of the pharyngeal wall on the left, glossoalveolar groove and base of the tongue are resected, with an extension of approx. 30-40%. The resection extends caudally to the hypopharyngeal entrance. The specimen was removed in its entirety. Suture marking. In addition, a marginal sample was taken in the area of the tongue body transition to the base of the tongue, extending down to the caudal side. This is also thread-marked for frozen section examination. In the frozen section, tumor specimen and marginal sample in healthy tissue. Thus R0 situation. This is followed by careful hemostasis. Final inspection. No more bleeding. Completion of the procedure without complications.