After induction of anesthesia and intubation by the anesthetist, tracheoscopy is performed using the 0-degree scope. This reveals inconspicuous mucosal conditions subglottically up to the carina. Now orotracheal intubation through the anesthesia (<CLINICIAN_NAME> for Cormack I). Now proceed to pharyngoscopy and laryngoscopy: Here the right tonsil is clearly bulging with an ulcer of approx. 5 mm at the punctum maximum. Subsequently, better exploration reveals a highly fissured, slightly exophytic central area. The rest of the pharynx, hypopharynx and larynx are unremarkable. Now proceed to flexible esophagogastroscopy. The mucosa is unremarkable on all sides. Now insertion of the tonsil plug. First video and photo documentation of the findings. Then consult <CLINICIAN_NAME>. He does not recommend performing a biopsy, but rather a complete resection of the tonsil. This is also carried out very carefully, in the sense of a radical tonsillectomy. Macroscopically, an R0 resection is achieved in any case, but the distance to the tumor appears to be small basally and caudally, which is why a final margin sample is also taken in this area. Subsequent careful hemostasis using bipolar coagulation and hydrogen. Relaxation and re-tensioning of the oral retractors and, if the blood is dry, completion of the procedure without bleeding and without complications. Conclusion: suspected cT1 to cT2 tonsillar carcinoma of the right side, which was resected. In the case of R0 resection, a neck dissection of the right side and, if necessary, insertion of a PEG should be performed.