This image shows a formalin-fixed cervical cone with a diameter of 2 cm and a height of 2 cm. Given a transformation zone of type 1 or 2 in a woman who is still seeking parenthood, such a big loss of tissue is highly unreasonable and justified only in a patient with extensive ecto- and endocervical disease, who no longer opts for preserving fertility. Even though specimens of such size were a common standard, especially at the time of knife conization, cervical surgery for pre-invasive disease has become increasingly conservative over the last decade.