We operated this old man from Jhansi (UP) suffering from big neck mass with pressure symptoms. He took many consultations before coming to us. We evaluated him for distant metastasis with PET CT and routine investigations. He was operated for Radical Neck Dissection and sent to the recovery room and after 4 days we discharged him from Apple Hospital. The procedure was done by renowned head and neck onco surgeon Dr. Nitin Tomar, Indore He is coming to us for regular follow up after completing his Radiotherapy treatment & doing good.