Mohs’ micrographic surgery is a specialized form of skin cancer surgery allowing for high cure rates (~99.5%), low recurrence rates, and a surgical closure that provides for maintained skin function and cosmesis since it is tissue sparing. Not all patients with skin cancer require Mohs’ surgery. This procedure requires specialized (certification from the American College of Mohs’ Micrographic Surgery) training beyond a dermatology residency and board certification. Mohs’ micrographic surgery is generally reserved for high risk skin cancers, facial, head and neck tumors, recurrent skin cancers from other procedures, and large tumors. Dr. Seraly works closely with some of the best Mohs’ micrographic surgeons in the country. A confirmative skin biopsy is necessary before a referral can be made to a Mohs’ micrographic surgeon.