Suspension microlaryngoscopy is the gold standard treatment for a large number of lesions of the voice box. Polyps, cysts, scar tissue, and sometimes nodules can be resected under high power magnification. Specialized techniques of micro flap excision minimize surrounding damage to the vocal cords and allow for excellent healing with the return of the normal singing or speaking voice. There are minimal complications and little discomfort from the surgery. Voice rest is typically required for 1 week after surgery. Voice therapy with a specialized speech pathologist is essential both before and after surgery for a full recovery with an optimal performing voice.