The parapharyngeal space is usually in the shape of an inverted pyramid. Benign and malignant tumours can arise as a result of any structures contained within the parapharyngeal space. These tumours surface as a painless mass in the neck causing difficulty in swallowing, pain, or trismus. The treatment of these tumours is surgical excision. The choice of the surgical approach is decided after considering various factors like the index of suspicion for malignancy, histology, site of origin, size of the tumour, the relationship of the tumour to neurovascular structures, and the experience of the surgeon.