This course will review "lessons learned" from my experience in treating over 400 patients with tumors of the parapharyngeal space. Relevant Anatomy will be emphasized to help the participant feel comfortable in approaching the parapharyngeal space from either the trans-cervical or the trans-oral approach. Indications for each approach will be reviewed with each case presented. Treatment options for common salivary, vascular, and neurogenic tumor, as well as more rare lesions in this region, will be discussed, including the indications and techniques for enucleation of schwannomas of the head and neck. Multiple cases including intra-opertive surgical photos, and detailed surgical videos, will be presented to lead the participant to a much greater understanding of the anatomy, and hopefully an increased comfort level in performing surgery on tumors in this region.