The patient has a histologically confirmed G3 squamous cell carcinoma (P16 negative) of the left-sided oropharynx (cT3 cN0 cM0). In our interdisciplinary tumor conference on <2016>, it was decided to resect the tumor with defect coverage by means of flap plasty as well as neck dissection on both sides and tracheotomy. The patient was informed in detail preoperatively and had sufficient time to ask questions.