Introductory consultation with the anesthetist. First advance the 0° optic through the glottic plane into the trachea. Inconspicuous mucosal conditions up to the exit of the segmental bronchi. No abnormalities in the area of the cervical trachea on reflection. Now intubation of the patient. Inspection of the glottis, subglottis and supraglottis. Inconspicuous mucosal conditions. No abnormalities in the hypopharynx on both sides or in the postcricoid region. Inspection of the base of the tongue shows inconspicuous mucosal conditions. No abnormalities in the area of the oral cavity and nasopharynx after pulling up the soft palate. Advance the flexible esophagoscope into the stomach. Careful reflection back. Inconspicuous mucosal conditions in the area of the stomach and oesophagus. Adjustment with the tonsil retractor. There is a large mass in the area of the right tonsil, which clearly extends laterally. The left tonsil appears inconspicuous. Incision of the mucosal margin close to the uvula and exposure of the capsule of the tumor, which can be exposed far laterally. Extremely difficult dissection. However, it is possible to remove the tumor completely along the capsule, most likely................. the tonsil. Careful dissection both laterally and in the area of the posterior palatal arch. Separation of the tonsil in the area of the base of the tongue. Formation of a mucosal plasty. Careful hemostasis. Dry conditions at the end of the operation. Completion of the procedure without complications. Final consultation with the anesthetist. Further procedure depending on the histology. Note: In view of the size of the tonsil and the strong contact vulnerability with consecutive bleeding, very difficult preparation conditions.