This article recounts the historical development of the endoscopic sur
gical management of stage I and stage II glottic cancer. The indicatio
ns and surgical approach to treating stage I cancer and the rationale
for extending the original limitations to the endoscopic treatment of
highly selected stage II glottic cancers is described. The indications
, technique, and outcomes of the endoscopic treatment of stage II glot
tic cancer are also presented.