Bill, I would definitely go to Moffitt or one of the other cancer centers mentioned in the area if you feel your ENT doesn't have experience. The surgeon we saw at Moffitt is very skilled and has done hundreds of these procedures. We both had a lot of confidence in her skills and she seems to have done a thorough job. She got all of Jerry's cancer and clean margins. He ended up with 4 cancerous lymph nodes and they had intertwined with a muscle and nerve so she did end up doing a modified neck dissection and did have to cut some nerve endings. This has been one of the things hardest for him to heal from and he will probably eventually go for massage therapy because we're assuming he has lymphedema (swelling, pain, etc.). We were very thankful that the Moffit surgeon was able to remove all the cancer in the oral cavity and the neck. Frankly, I hate to think what would have happened had Jerry had the surgery done from the original ENT he saw. He was treating it like an outpatient operation to be done in an afternoon. He wasn't going to remove the lymph nodes and he didn't warn him of some of the problems that could arise from the BOT surgery. At Moffitt, they took care of it all and he was in the hospital for 4 days. Definitely take care on your choice of surgeon.