Hi Paul thanks for replying. I guess I don't know what yo expect. They used the pec muscle to reconstruct his tongue. Nurse explained it as flipping the muscle and pulling it through the neck to the tongue and stitching it. It's amazing what doctors can do. Do you have any restrictions from the pec flap? Did you need PT? Any complications from the carotid/jugular vein removal. Dr said he wouldn't need it because he has the other side but it was a decision made Turing surgery so I don't know what to expect symptom wise. It's 1 day post surgery and he's in a lot of pain in his chest and head. The trach is freaking him out to the point where he can't sleep due to fear. I've been here all day to comfort him to sleep and he finally getting some rest.