Surgical resection is the treatment of choice for intraductal papillary mucinous tumor. In intraductal papillary mucinous neoplasm, the extent of resection is determined by the extent of the disease. If, by pre- and intraoperative assessment, the disease appears localized, limited resection (pancreaticoduodenectomy or distal pancreatectomy) should be performed, ensuring that frozen sections show negative margins. Total pancreatectomy should be considered for extensive disease.