**8. Conclusions**

The removal of the eye in any surgical variants (enucleation, evisceration, and exenteration) requires a careful and thorough planning process. A detailed patient explanation of the causes that have led to this type of surgery is mandatory as a breakdown of the consequences of the operation. These explanations should be extended to the family as the immediate aesthetic impact not only affects the patient. Once the most appropriate surgical technique has been chosen, it should be planned in detail beforehand, including potential needs for collaboration with other surgical specialties such as plastic surgery, maxillofacial surgery, neurosurgery, or otolaryngology. It is also important to have the support of anesthesiology for good intraoper‐ ative monitoring of the patient. The surgical procedure must be done with thoroughness and patience since the surgical time is long in many cases, and rigorous performance of the surgical steps is one factor that decreases the rate of complications. In cases where an implant is required, this can be carried out in a primary or secondary way. The advantages and disad‐ vantages of different types of implants and the use of wrapping material is widely discussed with the patient. It is important to emphasize the patient-recovering milestones and possible postoperative complications as well as the need for other secondary surgical techniques, e.g., eyelid surgery. Postoperative follow-up is crucial to detect and treat complications as early as possible. Finally, we would like to stress that collaboration with the ocularist is essential in order to get a good adaptation of the prosthesis and aesthetical patient satisfaction.
