An electrosurgical pencil is provided and includes an elongate housing, an electrocautery blade supported within the housing and extending distally from the housing. The electrocautery blade is connected to a source of electrosurgical energy. The pencil also includes an activation button supported on the housing, the activation. button being configured and adapted to complete a control loop extending from the source of electrosurgical energy upon actuation thereof. The electrosurgical pencil further includes a manually operated aspirating/irrigating system operatively connected to the housing, wherein the aspirating/irrigating system is configured and adapted to deliver a quantity of fluid to a target surgical site and/or withdraw a quantity of fluid from the target surgical site.