Mortality following blunt and penetrating injuries of neck has been reported to be 10 per cent in recent series while the penetrating alone had a mortality of 2-6 per cent in most series. The neck is commonly divided into three anatomical areas. Zone I injuries occur at the thoracic outlet. Zone II includes the area above the level of the cricoid to the angle of the mandible. Zone III area is located between the angle of the mandible and the base of the skull. The injury to cervical spine may or may not produce neurological deficit. Every patient of poly trauma should have cervical spine well protected till spinal injury is conclusively ruled out. Clinical manifestations of injury to carotid artery are decreased level of consciousness, hemiplegia, cerebrovascular accident, hematoma, hemorrhage, absent carotid pulse, hypotension and pulse deficit. Jugular vein injury may present with hematoma, hemorrhage, and hypotension. Injury to larynx and trachea manifest with strider, subcutaneous air, bubbling wound, hoarseness, dysphonia, hemoptysis. Esophagus and pharynx when injured may present with subcutaneous air, hematemesis, dysphagia, sucking wound. X-ray of cervical spine and chest are done during the initial stabilization period. Canadian C-spine rule had 100% sensitivity and 42.5% specificity. Use of CT and MR for CS clearance in the unreliable patient has been recommended. With the mandatory exploration approach, all wounds that penetrate the platysma muscle warrant exploration, regardless of vital signs or symptomatology. Proponents of selective observation feels that in the absence of specific indication as all gun-shot wounds, shock ,hemorrhage diminished or absent pulse, expanding hematoma, difficulty breathing, voice change, subcutaneous emphysema, visceral, difficulty in swallowing, subcutaneous emphysema, air bubbling from the wound, hemoptysis, hematemesis, neurological progressive deficit.