After active patient identification, the patient is admitted to the operating theater. Carrying out the team time-out. Introductory consultation with the anesthesia department. Induction of anesthesia and intubation of the patient. Positioning of the patient by the surgeon. Insertion of the mouth guard. Entry with the small bore tube and initial adjustment of the endolarynx. This appears unremarkable. Inspection of the hypopharynx on both sides. This is lined on all sides by smooth mucosa and can be freely unfolded up to the tip. Postcricoid as well as in the area of the esophageal entrance are also inconspicuous. Entry with the reinforced retractor and inspection of the glossotonsillar groove on the left side. The slightly suspicious, exophytic mucosal change described above can be seen here. The area is now circumcised using the electric needle. The tissue is sent for urgent histology. Hemostasis by means of bipolar coagulation. Final inspection of the oral cavity. There is no evidence of a further tumor-specific lesion. Final consultation with the anesthesiologist. Completion of the operation without complications.