Fish,

Thank a bunch for encouraging response. Now question I have is;
1. How much tongue you had to lose during process (generic answer if not an exact, meaning 1/3, 1/4, 1/2). I believe dictionary meaning of Hemiglossectomy is excision of one side of the tongue.
I read your answer 4-5 times, and here are two question attached to a previous one,
2. Did your doctor offered / suggested reconstruction of removed tongue for better functionality results?
3. If such an option was presented / offered to you, did you opted for the reconstruction?

Reason for this is s, my ENT today explained to me today that he is not sure if large part of tongue needs to be removed (if large Hemiglossectomy required once we start operating). He said, looking at out side vs inside are different scenarios. Tumor may require me to go with larger removal to achieve better clear margin. So he wanted my consent to reconstruct lost part of tongue side by side on a same surgery with help of plastic surgeon. (6 hours total in a surgical room with re construction)

He said believe me, it would be better over not to do so.
My concern is, I don't want artificial implants and create a room/opportunity for future complications by reconstruction (this is my perception). I am OK with lose of part of tongue but with less complications. (Similar to you if you have not done reconstruction).
I saw doctors at CCC in midwest and in east coast. One of the doctor in East coast said, most of ENTs in east coast will offer you the reconstruction (in the first place during the first surgery itself, its a standard practice custom/protocol in east coast) which is unlikely in mid-west and west coast. She was right, none of the two CCC offer / suggested / talked about reconstruction at all in midwest (IL/OH).

In your case, if that was nearly 1/3 loss without reconstruction, and you believe speech and swallow function will be affected by 10-20%, If you accepted this change than I like not to go with the reconstruction. Did I mentioned hidden treasure? You still have your taste buds.

Any suggestions are welcome besides an experience from Fish. I responded to him since closest cast to my upcoming surgery and is most recent case to date I've seen here.

Thanks every one.