First, induction of anesthesia and intubation of the patient by the anesthesia colleagues. Then insertion of the mouth blocker and exposure of the tumor region. A coarse, spherical tumor is found at the base of the tongue on the right side. Then insertion of the robotic arms and optics and start of tumor resection. Grasping the tumor and successive resection of the tumor tissue in the macroscopically healthy area. Sending the entire specimen for frozen section. In the area of the wound bed, the wound edges are macroscopically healthy, but microscopically very closely resected. Therefore, another resection was performed here for final histology. Decision to perform a tracheotomy due to the wound area. Incision in the area of the cricoid cartilage. The neck can hardly be overstretched and is very short. Dissection down to the muscles and the thyroid gland. Cut through the thyroid isthmus. Exposure of the anterior wall of the trachea. Insertion between the 1st and 2nd tracheal cartilage. Creation of a visor tracheotomy. Creation of a mucocutaneous anastomosis and insertion of an 8 mm tracheal cannula. The patient is admitted to the intensive care unit for postoperative monitoring. Please present the patient at the tumor conference after receiving the histology.