Initial work up prior to surgery and subsequent surveillance after definitive local treatment varies from center to center. In this PodCast, Dr. Finger explains his methods of initial staging and subsequent surveillance for metastatic choroidal melanoma. Herein, we discuss the history of what was done by the Collaborative Ocular Melanoma Study, how socio-economic issues affect what might be available in the patient's health care system and how sensitive each type of examination is for detecting metastatic choroidal melanoma.