I was not really given a choice with my age! They wanted to use every possible measure to attack this the first time. I had the glossectomy then followed that with a ND which in my case showed a very slight extra capsular spread in 1 node which NO scan could ever show! So then it was off to the radiation. I just personally feel much better knowing that the tumor or the possiblity of the tumor is totally out of my body and now there is less of a chance of it showing back up in that area down the road. The scar sucks, the tightness sucks and numb feeling sucks but hey you have to do what you have to do to beat this! In my opinion the ND was the easiest of all the procedures I have had so far! They clipped a nerve so I have some other issues that some people dont have but its manageable! I hate that word...I sound like my damn doctors now! That is there favorite saying when you ask them about the side effects..."Its manageable" Its kind of like "hunker down" after the 3 hurricanes that kicked our ass in southeast florida that was everyones favorite saying.....time to hunker down! Now everytime I hear someone say that I want to hit them! lol