This is a practical talk designed to empower equine veterinarians to confidently perform standing surgical procedures involving the horse's head. This session aims to enhance the capabilities of general practitioners by providing detailed guidance for a successful outcome. Topics will include indications, case-selection, achieving adequate sedation, and utilizing local anesthesia effectively, making these procedures manageable in a field setting. The presentation will cover a range of basic standing procedures that can be successfully performed by general practitioners, including enucleation, sinus trephination, simple dental extractions, and trauma management. Emphasis will be placed on the practical how-to aspects of each procedure, offering insights into step-by-step setup, positioning, and the tools required for each situation. Additionally, case examples and troubleshooting tips will be presented to help practitioners anticipate and manage challenges they may encounter during these procedures. By the end of the session, attendees will have a clearer understanding of the equipment, medications, and techniques necessary to confidently tackle common standing surgical procedures in the field, ultimately enhancing the level of care they can provide to their patients while minimizing the need for referral.