Neck dissection means the complete removal of lymphatic package of the neck. It has been performed as a primary purpose of management for the neck node metastasis from head and neck cancer. Since recent 4 years, authors have performed neck dissection in the 64 patients(70 sides) and analyzed the clinical finding and follow-up results. The results were following ; 1) Number of dissection was ; Unilateral-58 patients, Bilateral-6 patients, Method of neck dissection was ; RND-18 cases, MND-33 cases, FND-19 cases. 2) The most common cause of neck dissection was the laryngeal cancer as 30 cases(46.8%) and histopathologically, squamous cell carcinoma was the most common as 48 cases(75.0%) among the 59 cases of malignancy. 3) The nodal stage of neck node metastasis was ; N₀-17 cases(26.2%), N₁-24 cases(36.9%), N₂-11 cases(16.9%), N₃-10 cases(15.4%). 4) As for the postoperative complication, nodal metastasis was the most common as 18 cases(27.7%). 5) The nodal recurrence rate after neck dissection was 27.7% and in cases of over 1 year follow-up(42 cases) 1 year NED rate was 44%.