The metastasis of nodal pattern of malignant scalp tumors of the posterior half of the scalp including the occipital area and the nape of the neck takes place primarily in the retro-auricular and suboccipital area, and secondarily in the posterior triangle of the neck. The regional node dissection that includes the removal of the retro-auricular and suboccipital nodes in continuity with the posterior triangle and jugular chain of lymph nodes is called the posterolateral neck dissection. Recently, we experienced a case of an extended posterolateral neck dissection for recurred squamous cell carcinoma on scalp. We hereby present this case with the operative technique and surgical anatomy.