Okay so a four month wait for surgery is too long... I don't know how you would expedite the matter but it's far too long. Normally I wouldn't suggest otherwise but maybe finding a top notch ENT with major cancer experience - NOT at a ccc to do the surgery would be prudent - if they can get you in earlier. Or continue to call - ideal the treatment at a ccc is the best option but if they are making you wait an extended period of time then your life is on the line. As long as they are removing the required number of nodes and they are exceptional re the surgery then I would say have the surgery ASAP and go for follow up treatment at the ccc. I would not wait 4 months. Mind you you do want the best if the best for this surgery. Hugs.