Radiotherapy is not required after every craniofacial surgery. The need depends on the type of tumour, its stage, surgical margins and whether cancer cells have spread to nearby tissues or lymph nodes. After ENT skull base surgery, the removed tissue is examined through a pathology test. Based on this report, the skull base surgery ENT team may recommend radiotherapy to lower the risk of cancer returning. It may also be advised after craniofacial reconstruction surgery when the original surgery involved cancer removal. Dr Smit carefully reviews the pathology report and coordinates with the oncology team to plan suitable further treatment. Patients seeking craniofacial surgery in India receive guidance based on their individual diagnosis. Conclusion Radiotherapy after surgery is decided according to the final pathology report and cancer stage. It is recommended only when it may provide an added medical benefit.