This case involves a 56-year-old male patient who had dacryocystorhinostomy procedure to create a new tear drain between his eyes and nose. Pathology came back as benign. a little over a year later, the patient went for an evaluation of glaucoma. A second pathologist took a look at the previous surgical report and noted that the report indicated mucosa associated lymphoid tissue (MALT), which necessitated chemotherapy and radiation. An expert oncologist was sought to discuss the effects a 13-month delay might have on the treatment and prognosis of this patient.