Because the degree of lymph nodes metastases is the most important prognostic factor and recurrence in the neck is generally incurable, management of the neck has become one of the most actively debated topics in the field of head and neck oncology. Treatment of the neck, i.e., surgical (neck dissection with or without postoperative (chemo)radiotherapy) or nonsurgical (irradiation with or without chemotherapy), is usually dependent on the treatment modality for the primary tumor.Elective treatment of the neck is still one of the subjects still under debate. If the neck is primarily treated surgically, the extent of the neck dissection and the eventual adjuvant (chemo)radiotherapy should be discussed in the multidisciplinary team. If the neck is treated by (chemo)radiation planned and salvage neck dissection are the subject to discuss.