The current utilization of an intensive coordinated therapy program (surgery, radiotherapy, and intensive multidrug chemotherapy) has increased the success rate in treatment for rhabdomyosarcoma in children. A 68 per cent 3 year survival and 89 per cent local control of rhabdomyosarcoma of head and neck substantiate this. These results suggest that surgical procedures regarding rhabdomyosarcoma primary in other sites require re-evaluation and possible modification.