After the microkeratome is checked by the surgeon for proper functioning, we place the patient in surgery room. The periorbit is then prepped and draped with betadine, after the setup is complete and laser programming is confirmed by surgeon, a speculum is applied. The suction ring is centered and suction is applied. The cornea is then moistened and the microkeratome is used to make a lamellar flap resection. The suction ring is removed. A cyclodialysis spatula is inserted in the interface and the corneal flap is then reflected in \"taco pattern\" to protect stroma flap (stroma to stroma apposition). The corneal flap is reflected onto the stromal bed followed by brief irrigation on the interface so as to produce a smooth striae-free re-apposition. Two moistened sponges are used with minimal pressure on the flap to smooth the flap with center-to-periphery “squeegee” motion and to dry the gutter. The interface is briefly irrigated again followed by sponge squeegee as described. Two second of air to allow the corneal flap to adhere. The lid speculum is then gently removed and the patient permitted to blink. The patient leaves the surgical suite and is examined immediately after the procedure in the examination room at the slit-lamp to confirm proper flap position and adherence.