This document discusses the anesthetic considerations for head and neck oncosurgical procedures. It begins with an overview of the epidemiology of head and neck cancers and risk factors. It then discusses preoperative evaluation focusing on airway assessment, cardiovascular, pulmonary, and cancer-related complications. Intraoperative management focuses on securing the airway, fluid management, positioning, and complications related to specific procedures like thyroidectomy. Postoperative concerns include airway management, bleeding, hypocalcemia, and thyroid storm. Collaboration between the surgeon and anesthesiologist is emphasized for safe management.