This issue of JAMA Otolaryngology presents “Complications, Mortality, and Functional Decline in Patients 80 Years or Older Undergoing Major Head and Neck Ablation and Reconstruction” by Fancy et al.1 This work represents a major contribution to the head and neck reconstructive literature in a group that many have long held the speculative opinion do worse with surgery: the oldest of the old. This is a growing population, thus presenting a pressing research topic.