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.