A tissue cutting cap and a method of delivering energy to a tissue are provided. The tissue cutting cap includes a body having a proximal portion, a distal portion, a distal end, and a lumen extending at least partially therethrough. The tissue cutting cap also includes a cutting portion operably connected to the body where the cutting portion has at least one position where the cutting portion is positioned proximal to the distal end of the body and the cutting portion has a first side, a second side, an end and an opening defined by the first side and the second side. The proximal portion of the body is sized and shaped to fit on a distal end of an endoscope and the distal portion of the body extends distal to the distal end of the endoscope.
