I can understand your hesitancy. I had a similar melanoma and skin graft the back of leg where there is little skin. I was told if I had an excisional biopsy, I didn’t necessary need the second surgery and skin graft. That with a shallow lesion and yours is very shallow, an excisional biopsy should have taken care of any melanoma cells. If you just had a punch or shave it may be a different story. Now I did all of my surgery under local anesthesia because I was pregnant and just had IV valium That could be an option for you since it requires little time in the hospital. Work with some professionals who are compassionate about your situation and maybe a compromise can be achieved. Let us know.