Multidisciplinary management of head and neck cancers is essential to both understanding current treatment paradigms and tailoring treatment to the individual patient.  Part of optimizing care is to understand how to intensify treatment in unfavorable cases while deescalating therapy in low risk cohorts.  Numerous approaches testing different combinations of treatment modalities are under investigation. It is difficult to stay informed about what is standard of care or under active study.  Additionally, understanding strategies to minimize radiation therapy toxicity play a critical factor in maintaining quality of life and organ function preservation.