Appointments for surgery are scheduled early in the day. This allows us to complete several surgical stages throughout the day (if necessary) and relieves you of having to make another trip to the office the next day. Our staff will escort you into a surgical suite where Dr. Griego or Dr. Skinner will perform a detailed pre-operative consultation including: a review your medical history and pathology reports; a comprehensive examination of your skin; and customized answers to any questions you may have regarding your diagnosis and the procedure.When you are ready, your doctor will use a local anesthetic to numb the area around the cancer. Once it is numb and cleansed, the procedure will be initiated by the removal of the visible portion of the tumor by either curettage or excision. When the visible portion of the tumor is debulked, a thin layer of tissue will be surgically excised completely around and underneath the skin cancer. This layer of tissue is generally 1-2 mm in thickness. The excised tissue then will be carefully inked, diagramed, and processed in the laboratory which is contained within the office. The tissue is then frozen, cut into microscopically thin sect ions, and then processed through a staining machine to make visible all of the cells contained within the specimen.