A tattoo can be removed by cutting it away and then stitching up the wound. In the case of a large tattoo a skin graft can be used from another part of the body.

If the tattoo is small, this method has the advantage of being a quick one-session procedure. In the case of light green, yellow, white ink, or florescent inks which may be resistant to lasers, this method may be used.

The procedure begins with injection of a local anesthetic. The tattoo is surgically removed and the edges are sutured together. Bleeding can be controlled with electrocautery if needed. Scarring is usually minimal.