PHOTO 1: A preoperative biopsy should be done if it will help choose a therapeutic modality and the degree of therapy. The equipment needed for a biopsy include a biopsy punch, a scalpel blade, local anaesthetic such as Lidocaine, a sterile surgical drape, surgical scrub, sterile surgical gloves and suture materials. Biopsy punches are disposable and range from 2 to 6mm in diameter. PHOTOS 2-3: Larger biopsies are usually preferred by the pathologist for histological diagnosis. The junction between normal and abnormal tissue should be biopsied. Punch biopsies are used to get skin samples. The skin directly over the selected site is clipped and cleaned with a surgical scrub. A local anaesthetic is injected around the lesion and the biopsy site is scrubbed again. The skin is stretched and the biopsy punch is placed at right angles to the skin surface. The punch is rotated in one direction and firm downward pressure is applied. The punch is then angled parallel to the skin while still applying pressure. The punch is rotated to sever the base of the biopsied material and is then removed. The tissue core is elevated with the point of a needle and the base severed with a scalpel. The incision is sutured closed.