Setting up an office and establishing a Mohs surgeryMohs surgery practice are major undertakings and require careful planning. There are many aspects that need to be addressed, including the design of the space, setting up of the laboratoryLaboratory, purchase of equipmentEquipment and supplies, hiring of personnelPersonnel, medical recordMedical records keeping, billingBilling, marketingMarketing, recruitment of referrals, regulatory issues, and development of educationalEducational materials. Although one should be frugal, one should not skimp when it comes to equipmentEquipment and supplies, setting up a laboratoryLaboratory, or hiring personnelPersonnel.