During the period of 1984 through 1988, authors have performed neck dissection for the management of neck node metastasis from head and neck cancer(35 patients/40 sides) and analyzed the clinical finding and follow-up results. The results obtained were as follows : 1) Sex ratio was 28 males and 7 females, and most common age group was 5th and 6th decade. 2) Laryngeal cancer(54.3%) was the most common primary lesion and squamous cell carcinoma(77%) was the most common histopathological finding in the primary lesion. 3) The most common metastatic neck node was upper deep jugular nodes. 4) The types of neck dissection were RND(11 sides), MRND(9 sides), FND(13 sides) and SND(7 sides), and BND were done in 5 cases. 5) The nodal stages of the operated neck were NO 15 cases(37.5%), N1 5 cases(12.5%), N2a 4 cases(10%), N2b 7 cases(17.5%), N2c 3 cases(7.5%) and N3 1 case(2.5%). 6) Differences between preoperative and postoperative nodal status were false positive 16.7%, false negative 40%, overestimated 11% and underestimated 34.3%. 7) Among 40 sides, END were done in 24 sides and 9 sides(37.5%) had nodal metastasis. 8) Postoperative complications were shoulder syndrome(7 cases), wound infection with flap necrosis(3 cases), facial nerve damage(1 case) and carotid artery exposure(1 case). 9) Follow-up results over 1 year were no evidence of disease(25 cases), nodal recurrence(2 cases), primary recurrence(7 cases) and distant metastasis(1 case).