Positioning of the patient by the surgeon. Insertion of the McIvor oral spatula. An ulcer can now be visualized parauvularly on the right side after sampling at the transition from the soft palate to the anterior palatal arch. Demonstration here on <CLINICIAN_NAME>. Indication for transoral resection with 5 mm distance to the ulcer. This is done cold with scissors. Cranial and caudal margin samples are taken and marked with sutures. Both the specimen and the marginal samples are sent for frozen section diagnosis. After 1 hour, the pathologist calls to confirm that there are no carcinoma infiltrates in either the original specimen or the margin samples. It can therefore be assumed that the excision biopsy was complete during the previous procedure. Punctual hemostasis and completion of the procedure without complications. Conclusion: In conjunction with the specimen and frozen section diagnosis pT1 soft palate carcinoma right G1, R0 resected. A total of three metachronous tumors since <2019>. Therefore presentation at the tumor conference with the recommendation for adjuvant radiochemotherapy.