A 32 years male - a smoker with history of a non- healing ulcerative small lesion over left buccal mucosa . No pain - but a little irritation present A biopsy reveals a microinvasive well differentiated squamous cell carcinoma. As the patient is poor - treatment options are welcomed Is radiotherapy sufficient for this case - as it is available free of cost in G.M.C jammu . OR he needs a surgery