The patient had a histologically confirmed HPV-positive cT1 cN1 oropharyngeal carcinoma on the left side. In the interdisciplinary tumor conference, surgical treatment was decided upon if the tumor was well expressible. The patient had enough time to ask questions preoperatively and was informed in detail about the procedure. The patient underwent a panendoscopy with an extensive sample biopsy on <2017>. The histology revealed a p16 positive oropharyngeal carcinoma on the left, which is why the above-mentioned procedure was indicated. Clinically, there is still a scarred and partially suspicious area in the area of the oropharynx and it cannot be guaranteed that the entire tumor was removed during the generous biopsy. Hence the indication for resection.