JeffL spelled out the opposing positions in a very evenhanded manner. While not as HOT button an issue as the PEG debate, Neck dissections decisions are similar in that the medical treatment team usually has a strong point of view. My RO felt strongly that neck dissections were "insurance". My ENT surgeon saw neck dissection as much more of an risk analysis issue. Like David, I was very grateful they took my concerns into account and we decided NOT to have one. My admittedly non expert research had indicated that approximately half of the neck dissections were "unnecessary' in that no cancer was found in the lymph nodes. Those figures may be changing now as more and more doctors opt out of rigid treatment protocols. No body wants a neck dissection but in some cases they are necessary.