If the operation is not performed, the patient may continue to have symptoms of discomfort and redness. The tumour may also continue growing if the surgery is not perfomed. The patient must understand that the bigger the tumour, the more aggressive the surgery. In cases of suspected malignancy, if the surgical procedure is not performed, local or distant metastasis may occur. This is the case in conjunctival squamous cell conjunctiva and conjunctival melanoma.