This atlas of endolaryngeal surgery will serve as an enduring compilation of magnified images of laryngeal pathology. The microlaryngeal photography contained in this book was obtained from a sidearm of the microscope, simuating the surgeon's proximal view during the procudres. This technique allows pictures to be taken at various magnifications and from different perspectives, as surgeons often prefer to work at different powers. The text is designed to serve as a pictorial reference of clinical pathologies and their surgical management, with duplication of the types of lesions intended to demonstrate subtle clinical variations that affect surgical decisions. The main focus of the text is phonomicrosurgery, the most common reason to perform endolaryngeal surgery and one of the most dynamically evolving subspecialties with an exciting future as molecular laryngology develops and methods to reconstitute the layered microstructure of the vocal folds evolve. Many of the cases are displayed to exhibit the interface between the deep surface of lesion and the underlying vocal-fold tissue, which facilitates understanding of how pathology arises within the layered microstructure.