Because RAP lesions, by definition, originate from the retinal vasculature, the focus has been on surgical lysis of the retinal feeding arterioles and draining venules associated with angiomatous proliferation. Patients with RAP stage 2 appear to be the best candidates for this procedure. In this small series of patients who underwent surgical ablation of an RAP lesion, improvement in clinical, angiographic, and tomographic appearance was noted in all cases. Upon successful lysis of the feeding and draining vessels, complete resolution of retinal fluid and PED was generally noted within 7 to 10 days. This translates into a trend toward corresponding improvement in visual acuity. In the current series, the lesions remained closed without recurrence of the RAP.