Thank you, Christine, for your reply. My first doctor who did the surgery, told me that they got all the cancer out, and before the surgery, she told me that I will not need any radiation or chemo follow up. Then when I went for the post surgical appointment, she said yes, all the cancer was removed and the hospital said all the margins are clear. However, this is a very aggressive type of cancer, so she is referring me to another ENT in my medical clinic. That is when this doctor advised the neck dissection. I was so upset when I got home, as the surgery ENT gave me the feeling that the only thing necessary is to remove the tumor on my tongue, but since it was stage one, and caught early, that is the only treatment I need, and then the 2nd ENT advised an aggressive follow up, the neck dissection. The good news is that I got the OK from my HMO to see another ENT that is not in this group and about 25 miles away, for another opinion. Then I asked my Primary care doctor to refer me to an oncologist and she did and again, the HMO OK'd it. (a friend I spoke to was surprised that I did not have an oncologist, she said that cancer patients need to be seen by an oncologist). That was something I never considered, and I thought to myself: " I am not even thinking properly, I never even considered seeing an oncologist! Cancer=being seen by an oncologist!)