Abstract: Para Pharyngeal Space (PPS) is a deep space lateral to the upper pharynx inverted triangular in shape, it is an area of complex anatomical relationship with very sensitive structures. PPS is one of the head and neck planes which could be involved with tumors, it could be inflammatory, infectious or neoplastic. Tumors are rare representing <1% of all head and neck neoplasms. The management of para pharyngeal tumor is mainly with surgical approach which have been chose to facilitate extracting the mass completely with the least morbidity. We aimed to identify the number, types of paraphernal tumors and the outcome in our center. Also, this study will review the presentation, histological diagnosis, surgical approaches and postoperative complications. A retrospective study for 72 patients in 2010-2015, King Abdul-Aziz University Hospital, Saudi Arabia, Jeddah, to identify the types of paraphernal tumors and the outcome of the procedure. The study included 72 patients 26 males (36.11) 46 females (63.8%). This study reported type of tumors as parotid tumor 40 (55.5%), carotid body tumor 8 (7.27%) pineal body tumor 1 (1.3%) and others 16 (26.3%). The most common presenting symptom is neck mass followed by those patients came without clear complain. Subtotal parotidectomy was the commonest procedure that has been used followed by total parotidectomy while. The post-operative pathology showed that 67 (93%) patients didn’t need post-operative radiotherapy and 5 (7%) needed post-operative radiotherapy. PSS neoplasm is rare condition which most likely will need surgical intervention, a good pre-operative assessment with radiological imaging as CT or MRI is mandatory for every patient to improve the outcome. Moreover, FNA is a very helpful tool in pre-operative evaluation.