Parotid Extracapsular Dissection (ECD) provides a minimally invasive technique potentially reducing morbidity including transient facial nerve dysfunction, numbness, Frey's syndrome, surgical scar, and operative time. Poorly performed ECD can result in permanent facial nerve dysfunction and recurrence. This course will outline pearls and pitfalls, indications, and contraindications of ECD, with instruction on etiology and management of recurrent pleomorphic adenoma. Discussion of malignant degeneration of pleomorphic adenoma that can be related to recurrence will be reviewed. This course will help answer the question whether ECD is extracapsular enucleation.