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Surgery

On the day of your skin cancer surgery

Most surgery for skin cancer is done as an outpatient under a local anaesthetic. But you might have a general anaesthetic if you need to have a larger operation.

Before you go in for surgery

Your nurse will go through a series of questions on a checklist to make sure you are ready for surgery. They ask you to:

  • tell them when you last had something to eat and drink 

  • change into a hospital gown

  • put on a pair of anti embolism stockings - these help prevent blood clots

  • take off any jewellery - you may be able to keep a wedding ring on

  • remove contact lenses if you have them

  • wear a hospital identification band - this is normally on your wrist

If you have false teeth you can usually keep them in until you get to the anaesthetic room.

For some types of surgery, your nurse asks if they can remove the hair around the operation area. This is to help prevent an infection. They might remove the hair on the ward before you go for your operation. Or when you’re in the operating theatre.

Your nurse might give you a tablet or an injection to help you relax. This will be an hour or so before you go to the operating theatre. This makes your mouth feel dry. But you can rinse your mouth with water to keep it moist. 

Your nurse and a porter take you to theatre on a trolley if you’ve had this medicine. You can walk down to the theatre if you haven't had any.

Having an anaesthetic

Most skin cancer surgery uses a local anaesthetic. The doctor injects the local anaesthetic into the surrounding skin. This can sting, but the area then becomes numb. You stay awake for the procedure.

Some larger operations mean that you need a general anaesthetic. The anaesthetist puts a small tube into a vein in your arm (cannula). You have the general anaesthetic through the cannula as well as any fluids and medicines you might need. This sends you into a deep sleep. When you wake up, the operation will be over.

Before you go to sleep your anaesthetist might put a small tube in the space around your spine. This is called an epidural anaesthetic and is only used for some operations. The anaesthetist attaches a pump to this tube in the spine to give you pain medicines. This is to help control your pain after your operation.

Last reviewed: 08 Feb 2023

Next review due: 08 Oct 2026

Types of surgery

The type of surgery you have depends on where the cancer is, how big it is and how deep.

Surgery for larger skin cancers

Find out about the different types of surgery for larger skin cancers or cancer that has spread.

Before your surgery

You usually have your skin cancer operation as a day patient with local anaesthetic. But for larger operations, you might have a general anaesthetic and be asleep for the operation.

Follow up

Find out about the follow up you'll need after treatment for skin cancer.

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