1. When the doctor says to you like this, “Most of the tumor is cut off, there may be a little bit left, do radiotherapy to kill it and it will be fine.” Wrong! The surgeon’s purpose on stage is to remove all the tumors completely, and there should not be a situation that cannot be removed. Residual malignant tumors are the biggest complication. Experienced surgeons instruct whether they can remove it cleanly before they go on stage, otherwise, they are referred to a more skilled surgeon to do it. Even if there are cases that invade important structures, such as carotid artery, it is not a problem now and can be resected and reconstructed with artificial vessels or saphenous vein, and a diversion tube can be used intraoperatively (tertiary hospitals can ask vascular surgery to help, it is a piece of cake). The scope of tumor invasion should be fully estimated, sometimes far beyond the expected, it should also be resected, if necessary, repair with free flap, do not rush off the stage, now the free flap technology has matured, but still many head and neck surgeons do not have free flap technology, so cut up the tumor to shrink, so naturally cannot cure the tumor. 2. The status of radiotherapy Professor Tu Guiyi has clearly indicated that only surgical resection of metastatic lymph nodes and postoperative radiotherapy and chemotherapy are useless, which is a retrospective analysis of several thousand cases of tumor medical records of Chinese Academy of Sciences and should be comprehensive, and I strongly agree. I am sorry to say that I have seen several big professors who did the same thing, and the analysis is that they ended the operation without waiting for the result of the freezing, and another reason is that they do not have the concept of surgical oncology and do not understand the three-dimensional tumor margins, which leads to positive margins (which patients may not understand, how can big professors not understand How can a professor not understand oncologic surgery? The fact is that a good otolaryngologist is probably not a qualified oncologic surgeon, and this is a big point to talk about). So either preoperative radiotherapy plus targeted therapy, and then evaluate after one course of treatment to decide to continue radiotherapy or switch to surgery; or surgery is preferred and then postoperative radiotherapy. The purpose of postoperative radiotherapy is not to kill residual lesions, which cannot be killed, but to control the occurrence of potential multifocal carcinomas. Since surgery is chosen, find a good doctor to remove the tumor completely. If unfortunately the tumor recurs after surgery or lymph node residual or recurrence, radiotherapy is definitely useless and surgery is possible. So my point is: some patients really need specific consideration whether to do radiotherapy or not after surgery. Radiotherapy will lead to local sclerosis, poor blood supply, poor vascular conditions in patients with recurrence, making surgery more difficult or even impossible to operate again, and cannot cure the tumor, so why do we need radiotherapy? 3. How to choose a doctor as a patient? It is better to inquire through hospital acquaintances about the professional direction of the doctor you choose, the doctor will not do well in all surgeries, he has his strong points. You can’t look at the halo, the dean, special allowance, doctorate, etc. are not related to the surgical technique, surgery is an art, which needs diligence, perseverance, wisdom of immersion, but also self-cultivation, can’t say all clear mind, but daily meetings, socializing, competition for fame and fortune will consume the doctor’s energy a lot.