In this issue of Facial Plastic Surgery Clinics, guest editor Dr. Scott H. Troob brings his considerable expertise to the topic of Updates in Head & Neck Microvascular Surgery. With advancements in surgical technology and compounded institutional expertise, surgeons are now able to perform free flaps with increased efficiency, leading to decreased operative times, improved safety profiles, and decreased resource utilization. In this issue, top experts discuss the surgical innovation that continues to redefine the boundaries of what is possible with this technique, as microvascular surgeons endeavor to restore form and function for patients worldwide. Contains 14 relevant, practice-oriented topics including advances in maxillary/midface reconstruction; assisted technologies in free flap reconstruction (spy, robot, spider, exoscope); pediatric free flaps; minimizing donor site morbidly and innovations in donor site management; microvascular free flap practice management and career development; and more. Provides in-depth clinical reviews on head and neck microvascular surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.