After an introductory consultation with the anesthesiologist, the patient is first positioned. Insertion of the size B small bore tube and visualization of the glottic plane. Use of the surgical microscope and support autoscopy. A strongly exophytic tumor of the left vocal fold can now be seen, which is limited to the left vocal fold but extends into the anterior commissure. The patient can be positioned relatively well so that there is a good overview of the tumor. Microlaryngoscopic laser ablation of the tumor is now performed. This begins dorsally with a safety margin of around 1-2 mm. In the lateral removal area, it extends deep into the vocalis muscle. The resection is performed anteriorly, where the tumor is dissected from the inner surface of the laryngeal cartilage and removed with the laser. The cartilage surface appears smooth and inconspicuous. The tumor extends a little way into the subglottic area, so that an appropriate safety margin of 2 mm must be maintained on the subglottic slope. Careful hemostasis is then performed. Take representative samples in the area of the anterior commissure as well as at the caudal margin. These are assessed intraoperatively as tumor-free by the pathologist. The lateral cranial and dorsal settling area was macroscopically safe in sano. After repeated careful hemostasis, with dry wound conditions, removal of all instruments. Final consultation with the anesthesiologist. Due to the direct attachment of the tumor in the anterior commissure, close monitoring, including microlaryngoscopy, is urgently required for tumor follow-up.