The author explores a complex topic in significant detail. The detail provided in the peer-reviewed publications adds novel information to the oncology field in terms of head and neck cancer treatment. Notably it aims to use simplified binary approaches which can be employed at Tumour Board/MDT’s to identify patients who are most likely to benefit from a prophylactic feeding tube. The author explores the dosimetric implications of organs at risk on feeding tube duration and explores decision regret post therapy. Patients undergoing head and neck chemoradiotherapy experience significant toxicity and the work described here may aid clinicians at both the diagnosis and planning stage.