In the patient, a G3-differentiated cT3 hypopharyngeal laryngeal carcinoma of the right side was histologically confirmed <2015>. Clinically as well as sonographically and computed tomography cT3 cN2b. In addition, nodular goiter on both sides with nodes > 2 cm each. All common tumor options (surgery versus primary radiochemotherapy) were discussed in detail with the patient in advance. There is now an indication for surgical treatment in the form of a laryngectomy with partial pharyngectomy, neck dissection on both sides and hemi-thyroidectomy. The patient had ample opportunity to ask questions about the procedure before the operation.