Introductory consultation with the anesthesiologist. Adjustment of the larynx with the size C small bore tube. Laborious exposure of the anterior commissure. Incision of the lesion in healthy tissue with resection of the vocal cord and parts of the vocalis muscle. As far as can be assessed intraoperatively, resection is successful in all planes in healthy tissue. Careful hemostasis. Removal of two marginal samples. Careful hemostasis. Dry conditions at the end of the operation. Completion of the procedure without complications. Final consultation with the anesthesiologist. Note: The resection was performed with the CO2 laser and with the aid of a microscope. Close follow-up examinations are absolutely necessary. Exposure of the anterior commissure could only be achieved by applying external pressure. However, the anterior commissure was clearly adjustable.