The mentioned symptoms indicate that either it is pachydermia laryngitis or it can be early carcinoma: Both the conditions can be distinguished by biopsy only In either conditions: smoking is a causative factor and should be stopped. Regular follow up is a must in either of the conditions. Bilateral cordectomy is not required even if it is glottic cancer because early stages of glottic cancer are treated by radiotherapy. Management of pachydermia is microsurgical excision of hyperplastic epithelium (cordectomy has no role).