In Mrs. <PATIENT_NAME> a cT2 cN0 tongue margin carcinoma on the right was histologically confirmed <2013> (poorly differentiated, G3). There is now an indication for transoral laser resection and neck dissection on the right. As the patient categorically rejected neck dissection, only transoral resection of the above-mentioned tumor was discussed with the patient. The patient had ample opportunity to ask questions about the procedure before the operation.