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Surgical management of larger oncologic lesions of the scalp is often in elderly patients with comorbid illness. In many of these cases, general anesthesia as well as only local infiltration is not always recommended 1. Scalp block technique has described by Girvin in 1986 for use during awake craniotomy 2 but the technique did not gain its due popularity for several more years, until the demonstration that blocking is safe and reproducibly successful in maintaining hemodynamic stability and in improving perioperative management of patients undergoing craniotomy 3. Actually, this technique has used in neurosurgery. We believe that an important potential application is major oncologic scalp surgery, according to Finco et al. that reported greater occipital nerve block for surgical resection of lesions of the posterior scalp, assessing good results in managing intra and post-operatory pain. 1 In cases with anterior scalp location, we would like to report our clinical experience on the use of supraorbithary and supratrochlear nerves block