Dermatosurgery has been gaining in importance in recent years. In depa
rtments of dermatology German-speaking countries the total number of o
perations increased by 58% from 1984 to 1991. The increase in the numb
er of operations of moderate and extreme severity was especially marke
d. Out-patient dermatosurgery was also performed mainly by dermatologi
sts as opposed to other specialties. From 1988 to 1992 dermatologists
in private practice recorded an increase of 40.6% in the number of ope
rative procedures they performed. The importance of dermatosurgery in
hospital and private practice can be expected to continue increasing i
n the future; dermatologists must therefore prepare themselves for the
present and future challenges inherent in surgery of the skin.