An electrosurgical suction coagulator includes a housing having proximal and distal ends and an elongated tube-like shaft extending longitudinally from the distal end of the housing. The elongated tube-like shaft includes a tube-like dielectric sheath, a tube-like conductor, and an external insulator. The tube-like conductor is disposed coaxially through the tube-like dielectric sheath. The distal end of the tube-like conductor protrudes at least partially from the distal end of the tube-like dielectric sheath. The external insulator is disposed coaxially around the tube-like dielectric sheath. The external insulator extends from about the proximal end of the dielectric sheath to about the distal end of the dielectric sheath.