A method for lancing a dermal tissue target site includes providing a dermal tissue lancing device with a housing, a lancet that is moveable with respect to the housing, and a cap. The cap has an opening therethrough for a portion of a lancet to pass through and a continuous saddle-contoured compression surface. The continuous saddle-contoured compression surface is configured for engaging a dermal tissue target site such that, when the cap contacts and is urged towards the dermal tissue target site, the continuous saddle-contoured compression surface applies substantially uniform pressure against the dermal tissue target site. The method also includes contacting the cap with the dermal tissue target site such that the continuous saddle-contoured compression surface completely engages the target site, urging the cap towards the dermal tissue such that the continuous saddle-contoured compression surface applies essentially uniform pressure against the dermal tissue, thereby creating a target site bulge, and lancing the target site bulge.