a. 27g 1 1/2 needle b. 18g needle c. cautery cover d. non-fenestrated drape e. fenestrated drape f. 5mL syringe (unless directed otherwise) g. surgical pack i. needle driver ii. hemostat iii. cutting scissor iv. undermining scissor v. blade holder vi. skin forceps vii. skin hook viii. towel clip ix. surgical cup x. cautery tip xi. ruler 2. Set gloves out a. 6.5 gloves b. 7.5 gloves 3. Set out mask(s) 4. Ask for Sutures 5. Make sure LOOPs are out 6. Draw numbing (unless directed otherwise) a. 2cc Bicarb b. 1cc Marcain c. 2cc Lidocaine w/ epi 7. Prepare specimen cup a. OPEN 8. Consent a. Confirm site b. Have patient sign and witness 9. Have post op instructions out and ready for patient 10. DOUBLE CHECK EVERYTHING 11. Once everything has been double checked let the physician know that the patient is READY.