Current research shows that only for very early stage laryngopharyngeal cancer, the efficacy of surgery and radiotherapy is similar before radiotherapy alone can be considered, and these patients must also ensure that they can be reviewed on time, otherwise radiotherapy alone is also not recommended, but due to the hidden anatomical site of laryngopharynx, early detection is often very difficult. Although many of these patients will face the end of not being able to pronounce normally after total laryngectomy, unlike other diseases, the first surgery is extremely critical and important! It is true that to preserve the larynx and cure the disease is a great joy for all. However, if we sacrifice the safety boundary to preserve the organ and function, it is putting the cart before the horse. For this reason, I would put the surgical plan as a top priority and be very cautious. As for the safety margin of laryngopharyngeal cancer, many doctors in China choose 1-1.5cm, but from my experience in American cancer center, 2cm is appropriate. These can solve the problem of articulation.