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Head and neck cancer care requires a multidisciplinary approach to achieve optimal outcomes. Our patients will typically initially meet with a head and neck oncologic surgeon, nurse-navigator and speech language pathologist trained in evaluation of head and neck cancer. Depending on the needs of individual patient he or she may be evaluated by. Compliance to the multidisciplinary team meeting treatment recommendation was 84% for all patients and 70% for patients with changes in their treatment recommendation. Conclusion Head and neck multidisciplinary team meetings changed management in almost a third of the cases. © 2014 Wiley Periodicals, Inc. Head Neck 37: 1046–1050, 2015.