In 2019, the ASCCP made some impactful changes to the management algorithm for cervical dysplasia. Why was the treatment algorithm divided between those under the age of 25 years and those over 25 years of age? When is observation without excision preferred? And, what’s the best way to perform surveillance after an excision procedure? In this session, which is Part 1, we will review the guidelines related to surgical excision of high-grade dysplasia.