MOHS micrographic surgery produces the highest cure rate of any available treatment for skin cancer. This procedure, employing frozen sections of fresh tissue, requires special laboratory facilities as an integral part of the Mohs micrographic surgery unit and a skilled histotechnician, which makes it expensive. Moreover, the multi-stage procedures in one day requires an extensive commitment of operating time and personnel. We have overcome these problems by utilizing the existing facilities, different methods of tissue-handling, and the use of the expertise of a pathologist. Surgeries can be scheduled at such times that are less disruptive to the patient, surgeon and pathologist.