An electrosurgical instrument that reduces the amount of fatigue experienced by a physician performing electrosurgery includes a hand piece with a utility conduit connected to the hand piece. The utility conduit can include an electrical cable and a smoke/fluid evacuation hose. The location at which the utility conduit exits the hand piece is selectively adjustable to reduce the resistance to the movement of the electrosurgical instrument created by the weight of the utility conduit. An electrosurgical instrument may also include an extendable shaft that allows for selective adjustment of the reach of the operational capabilities of the instrument.
