This is a procedure to look at the larynx when the patient is asleep under general anaesthetic. It involves putting a metal tube(scope) through the mouth to the larynx and then using a microscope to look in detail at the vocal cords. This will then allow very precise surgery on the vocal cords to allow treatment for vocal cord problems. The main risks of the procedure are getting a sore throat, bruising of the tongue or lips, numbness of the tongue and very rarely damage to the teeth. Most patients having a microlaryngoscopy will need to rest their voice for up to 2 weeks after the surgery. For this reason we normally recommend that patients will have 2 weeks off work, for singers and actors that may be longer.