A Head and Neck Microvascular Course hosted by Washington University was held on May 5, 2018. The course was designed to provide hands-on experience with free tissue transfer techniques for common flaps used to reconstruct major ablative defects of the head and neck. The course, designed for residents and fellows training in the greater St. Louis area, consisted of lectures, cadaveric prosection, and training in microvascular anastomosis. The morning prosection session was held at the Minimally Invasive Surgery Lab. The afternoon session on microvascular training was conducted in the new Multidisciplinary Surgical Simulation Lab. Course director Ryan Jackson, MD was exuberant about the success of the course and hoped to attract more participants next year. He also thanked the participating faculty: Drs. Patrik Pipkorn, Randy Paniello, and Jason Rich.