Abstract: An embodiment of the present invention relates to methods for performing a surgical procedure. In particular, an embodiment of the present invention is directed to methods for performing a surgical procedure, using a delivery catheter containing a laser fiber assembly. In accordance with an embodiment of the present invention, a method of performing a surgical procedure comprises the steps of: advancing a delivery catheter to a procedure specific area; activating a laser fiber assembly disposed within the delivery catheter; and advancing the laser fiber assembly to create a treatment specific hole at the procedure specific area.