Skin Cancer Surgery I operate on both melanoma and non melanoma skin cancers. Vasectomy I have been performing vasectomies for over 20 years. I do a no scalpel minimally invasive technique. Circumcision I do these only for adults and for medical reasons. This is done under local anaesthesia. Ingrown Toe Nail Ingrown toe nails can last a long time if you do not deal with them properly. Lumps The main lumps are sebaceous cysts, lipomas and scalp lumps. Bumps Sometimes it is necessary to remove lumps ( lymph glands) to rule out cancer.