Pathology of the headand neck area can be complex. The maxillofacial surgeon is uniquely placed with extensive specialist training to diagnose and manage benign and malignant disease of the maxillofacial region. Frequently general dentists are the first to notice something abnormal and request specialist opinion. While many disease processes are able to be diagnosed clinically, sometimes a biopsy is required to be 100% certain of or to exclude a diagnosis. These services are available under local anaesthetic, IV sedation and general anaesthetic should the need arise.