The usual surgical approaches to the head and neck region are overviewed. Subdivisions were made according to the anatomical regions and their functional correlations. The approaches are explained in a short introductory text. Their execution and indications as well as possible extensions are included. Emphasis is put on the illustrative plastic images showing the approaches in 4-colored figures. These were drawn after anatomical specimens and intrasurgical findings, therefore representing the actual anatomical situation. This is not a comprehensive textbook of surgical procedures but a clear representation of surgical approaches to the different topographical regions.