I had it all, tongue surgeries, modified radical neck dissection, chemo rad's....By far the easiest for me was the neck dissection. They took out 76 lymph nodes (don't have much left there) one was positive in first go round. There was little pain for me because of the nerves there. I do have numbness still in my upper arm and across my chest to midline and my face swells up periodically when I sleep on that side due to the lack of lymph nodes.