What to expect from skin cancer surgery for melanoma

The surgeon first reviews the biopsy and examines the lesion and surrounding skin. During excision, the visible melanoma and a planned rim of nearby skin are removed. The amount depends on the tumour findings and its location. Stitches, a flap, or a graft may be used to close the wound.

The removed tissue is examined to describe features that guide next steps. Some people need assessment of nearby lymph nodes or imaging, depending on the pathology and clinical findings. Your team will explain whether further treatment or specialist review is appropriate.

Follow wound-care instructions, keep the dressing clean and dry as advised, and take only recommended pain relief. Avoid stretching the site while it heals and protect the scar from sun after the wound has closed. Attend the appointment for pathology results even if the wound looks settled.

Learn how to check the scar, nearby skin, and other moles. Tell the team about a new or changing mark rather than waiting for the next routine visit. Emotional support can also help if the diagnosis or surgery feels overwhelming.

Call the surgical team if bleeding continues despite firm pressure, pain is worsening, redness spreads, pus appears, the wound opens, or fever develops. Seek urgent care for heavy bleeding, rapidly increasing swelling, faintness, or breathing difficulty.

Ask what the pathology report will show, whether lymph-node assessment is relevant, how the wound will be closed, when results will be reviewed, and what symptoms should trigger an earlier call.