Surgery on tongue is planned as part of initial treatment plan by an ENT. He never ever mentioned to see entire team (Chemo/Rad specialist) at this point. Surgeon seemed highly confident on his treatment plan judgement after 40 minutes of core discussion. Neck dissection and combination of Chemo/Rad are part of treatment blueprint but not part of first phase of treatment plan. Surgeon mainly focused on maintaining natural algorithm of human body functions than attacking to a disease resulting affecting other functionality. Even after seeing my PET/CT scans, he explained, he doubt on these results since in my case node involvement is a highly likely speculation based on PET/CT. So a surgeon decided not to perform neck recession in first place. Surgeon decided to adopt an easy going approach instead of standard attacking approach that requires all weapons to fire at the same time.