The unique spectral signatures and biologically inert compositions of surface-enhanced (resonance) Raman scattering (SE(R)RS) nanoparticles make them promising contrast agents for in vivo cancer imaging. Subtle aspects of their preparation can shift their limit of detection by orders of magnitude. In this protocol, we present the optimized, step-by-step procedure for generating reproducible SERRS nanoparticles with femtomolar (10â15 M) limits of detection. We introduce several applications of these nanoprobes for biomedical research, with a focus on intraoperative cancer imaging via Raman imaging. A detailed account is provided for successful intravenous administration of SERRS nanoparticles such that delineation of cancerous lesions may be achieved without the need for specific biomarker targeting. The time estimate for this straightforward, yet comprehensive protocol from initial de novo gold nanoparticle synthesis to SE(R)RS nanoparticle contrast-enhanced preclinical Raman imaging in animal models is ~96 h.