With a 20 year history of difficulty singing and recurrent hoarse voice this patient had repeatedly hemorrhaged into their vocal polyps. There is an acute hemorrhage at the time of the first photos. The operating room views show that there are multiple capillaries within the polyps. Quite likely these keep breaking with vocal use and causing the repeat hemorrhages. In the last photo of polyps or been removed and the vocal cords are nearly straight with a tiny residual swelling on the left. She remains a vocal overdoer.