Hypopharyngeal carcinoma has an unfavorable prognosis. There are three anatomic areas where cancer is located: posterior pharyngeal wall, pyriform sinus and postcricoid region. Irrespective of the location, cancer develops quickly and silently. The anatomic conditions cause that patient is not aware of the problem until the tumor is large, obstructive symptoms or pain occur and the cancer extends to the close structures and cervical lymph nodes. About 70% of patients present III or IV stage of clinical advancement during the diagnostic process. The treatment strategy consists of operation and postoperative adjuvant therapy. The majority of cases require radical operation – pharyngolaryngectomy. It causes that the functions are signifi - cantly affected. The tracheostomy is established, voice function is carried down and swallowing problems occurred. Only very several, precisely selected cases can undergo to the partial surgery. Some of them as a endoscopic procedures and some of them from external approach. Many of those operations need simultaneous reconstruction in diff erent way.