JJ, after reading Debbie's story about her husband, if I were you, I would not hesitate to include radiation in my treatment. Rather to take action now than regret later. Cancer cells are very cunning and they may be hiding somewhere that can escape the detection of the scanning machines and will show up when you think the surgery has done a great job already. In your case, the dosage of radiation may not be too heavy and complications therefore should be fewer. Even though I had the maximum dosage, I don't experience difficulty in opening my mouth as somebody faces here. Neither do I need a peg tube inserted. The most severe side effect I have now is the loss of saliva.IMRT can be a better option for you. Don't be frightened by radiation because the process itself is not painful, only uncomfortable. That's my own experience only and of course everyone reacts differently and the best advice you can take is from your team of doctors. I sense you have a very positive attitude right now and that is really important.

Karen stage 4 tonsil cancer diagnosed in 9/01.