Modified video-assisted lateral neck dissection (M-VALND) is an ideal surgical technique that incorporates surgical safety, oncological completeness, minimal invasiveness and cosmetic satisfaction. At the same time, the M-VALND is characteristically close to the traditional open surgery and easily reproducible. The author, based on personal experience in more than 400 cases of M-VALND during recent 5 years, describes the procedure in detail and in terms of the selection of surgical indications, creation of surgical working space, choice of surgical instruments and their application techniques, as well as the procedural surgical steps and attention points.