<s>[INST] I have psoriasis on my elbow and it's not that much, I actually bought some sort of cream for it and put it on every night and it keeps it down, if i don't put it on for a few days it starts getting worse but as long as I just put the stuff on again it makes it go away a bit but I can never get it to completely go away, and as I've read there's no actual cure for psoriasis. But I was wondering if a doctor actually cut the skin off that it's on, would that get rid of it? not just the scaly skin, but the skin that's under that even. [/INST] Hello dear,Welcome to healthcaremagic.I have read your query and understood your concern.Psoriasis as you read correctly is a controllable disease but not a curable disease.For limited area involvement, topical moderate to strong potency steroid with or without salicylic acid is advised.That will control the flare but wont prevent it from recurrence.Trauma is a triggering factor for the same. So any kind of surgery will augment the disease only.Put a good amount of moisturisers over body to prevent dryness and apply steroidal cream over the lesions for 2-3 weeks under supervision. Stay healthy. </s>