A Theory.- 1 Introduction and Definition.- 2 Historical Background.- 3 Composition of the Solution for Tumescent Anesthesia.- 4 Pharmacology.- 5 Toxicology.- 6 Sedation and Analgesia.- 7 Prevention of Infection and Thrombosis.- 8 Advantages and Disadvantages of TLA.- B Practical Application.- 9 Infiltration Technique.- 10 Technique of Subcutaneous Infusion Anesthesia.- 11 Patient Selection and Preoperative Preparation.- C Indications.- 12 Liposuction.- 13 Lipomas.- 14 Large Excisions.- 15 Abdominoplasty.- 16 Medial Thigh Lift.- 17 Tumescent Facelift.- 18 Skin Flaps.- 19 Split-Thickness Grafts.- 20 Dermabrasion.- 21 Laser Skin Resurfacing.- 22 Axillary Hyperhidrosis.- 23 Acne Inversa.- 24 Hair Transplantation.- 25 Breast Surgery.- 26 Arthroscopy.- 27 Sentinel Node Biopsy.- 28 High Ligation and Stripping of the Long Saphenous Vein.- 29 High Ligation and Stripping of the Small Saphenous Vein.- 30 Phlebectomy.- 31 Endoscopic Dissection of Perforator Veins.- 32 Fasciotomy.- 33 Debridement of Venous Ulcers.- 34 Shave Therapy for Crural Ulcers.- 35 Local Anesthesia in Children.- A: Toxicity of Lidocaine in Correlation to the Plasma Level.- B: Possible Toxic side Effects of TLA and their Therapy.- C: List of Suppliers.