Thank you for your question and picture. It is possible to remove the tattoo in a single operation. If there is enough flexibility in the skin surrounding a tattoo, it may be possible to cut around the tattoo and draw the cut skin edges together with stitches. Typically an oval shaped cut is designed as this allows a neat, straight or slightly curved surgical scar to be made. Your tattoo is small, yet covers a large surface area of the finger, therefore the skin not having enough elasticity. Staged Tattoo Removal may need to be an option, where removal of the whole tattoo would leave a gap in the skin which could not be drawn together easily with stitches, staged surgery can be used. A comfortable amount of the tattoo is removed to allow stitching of the wound. A few months later, the surgical wound will be well healed and the skin will have stretched enough to allow a further portion of the tattoo to be removed Skin Grafting an alternative to staged surgery where skin, taken from another area of your body, can be used to fill a gap which cannot be drawn together with stitches. This is a single operation however it leaves a second mark or scar on the body where the skin graft is taken from. More importantly, grafted skin will in many cases be different in texture and appearance to the adjacent skin.These can be performed under local anaesthetic. Please make sure you find a reputable and qualified plastic surgeon who can access you properly to give you a realistic idea of the outcome you can achieve. All The Best!