Many conditions lend themselves to be treated in the surgeon's office under local anesthesia without the effects of sedation. This gives the patient the advantage of having the procedure at much less cost than in a hospital or surgery center. We have two surgery rooms specifically designed for this purpose. Procedures, both elective and urgent are accommodated in our office. These include biopsies, lump and lipoma removal, injury repair, and treatment of selected infections requiring surgery. State of the art Breast Mammosite radiation catheter procedures are done in our office. Patients should discuss the possibility of office-based surgery with their surgeon to see if their condition is amenable to this approach.