Minor procedures · assessment first

When the problem needs more than a prescription

A minor procedure should start with clinical assessment, not with the procedure itself. At the appointment, the first question is whether the problem needs medication, tests, follow-up, an office-based procedure or referral onward.

First decide what the problem needs.

Common office-based situations include wound suturing, abscess drainage, assessment and selected removal of skin lesions or lumps, partial nail removal, foreign body removal, joint or corticosteroid injections and assessment of a painful external haemorrhoid with a clot.

Not every problem should be treated in a GP room. If imaging, specialist care, a larger operative assessment or urgent hospital-level care is needed, the right decision is to direct the patient onward.

  • Wound suturing
  • Abscess drainage
  • Skin lesion or lump assessment
  • Partial nail removal
  • Foreign body removal
  • Joint and corticosteroid injections

A procedure is only one possible outcome.

The appointment focuses on the cause of the problem, urgency, infection risk, need for local anaesthetic, likely benefit of a procedure and whether follow-up, medication, nurse care or referral is more appropriate.

When hospital assessment may be safer

Severe systemic symptoms, rapidly spreading infection, heavy bleeding, a significant injury, deep hand or facial trauma, numbness, movement problems or rapidly worsening pain may need hospital emergency assessment.

Specific aftercare is always given according to the situation.

These are brief general notes, not full aftercare instructions.

Wound suturing

Sutures are usually removed after about 5–14 days, depending on the location.

Skin lesion removal

The wound is usually sutured, and sutures are removed after about 5–14 days depending on location.

Abscess drainage

The abscess is opened. Follow-up often involves dressings or nurse care, and the wound heals from the base. Drainage and dressing need are common at first. Healing often takes about 1–2 weeks.

Partial nail removal

The toe or finger is often sore for about 3–5 days, after which the situation usually settles.

Foreign body removal

Sutures are rarely needed. Symptoms often settle within 1–2 days if the foreign body is removed and infection does not develop.

Joint or corticosteroid injection

Short-term tenderness at the injection site is common. The first step is always to assess whether an injection is appropriate.

Other practical appointment situations

Medical content written and reviewed by Markus Huotari, general practitioner. Updated 20 May 2026.

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