Removing a permanent tattoo can be a challenging and sometimes painful process. However, there are several ways to approach tattoo removal, including laser removal, surgical excision, and dermabrasion. Laser removal is one of the most common and effective techniques used for tattoo removal, as it breaks down the ink particles with minimal damage to the surrounding skin. Other options include surgical excision, which involves cutting out the skin that contains the tattoo and stitching the remaining skin together, and dermabrasion, which involves removing the top layer of the skin using a rotating abrasive brush. It is highly advisable to consult with Dr. Rokhsar, who has successfully removed thousands of tattoos, to discuss the best options for tattoo removal. Also, some colors, such as white and yellows, are harder to remove than black, blue and green colors. Therefore, it is important to manage expectations and understand that complete removal may not be possible in some cases. Amateur tattoos can typically be removed in 1 or 2 sessions where s professional tattoos may take 3-9 sessions with nano and pico lasers.