The best time of the year for canker surgery is May and June. To remove diseased tissue and promote maximum healing, take the following steps (Figure 5.6 below):
1. Do not attempt surgery on cankers encompassing more than half the branch circumference. Diseased tissue often extends beyond the canker margin that is visible at the bark surface.
2. Place your knife at the top of the canker 1/2 to 1 inch above visible diseased tissue.
3. Outline the area to be removed, maintaining a 1/2- to 1-inch margin beyond the canker. Outline a point at the top and at the bottom of the area to be removed. When outlining, press the knife blade straight through the bark into the wood.
4. Push the knife blade beneath the bark of the outlined area and remove the diseased tissue. It is not necessary to dig into the hardwood.
5. Clean out all diseased tissue. Note: If the diseased brown tissue extends into the margin of the cut, expand the margin until only healthy (green) tissue is evident at the margin. Keep the margin of the cut clean; torn tissue will not heal properly.
6. Do not paint cut surfaces with standard wound dressings (water asphalt emulsions, oil-based paints, or Latex paints). They have not proven beneficial in the wound-healing process.