Needling has been used for over many years and has since been proven to be an effective method for treating stubborn and multiple verruca. The procedure, carried out painlessly under local anaesthetic, involves disrupting each individual papillae in the verruca with a sterile needle. This encourages the body to initiate its own immune response, allowing the body to deal with the verruca itself. For multiple verrucae, only one lesion needs to be treated which may then result in the spontaneous resolution of all verrucae ( cascade effect). Unlike treatments with chemical caustics, burning or freezing, needling usually only requires a single application. Unlike other treatments, there is little risk of permanent scarring from this procedure. Following the procedure there is very little discomfort and, with minimal after care required, patients should be able to resume their normal activities the very next day.