Often, patients that present with head and neck squamous cell carcinoma (HNSCC) are in the seventh decade of life. The incidence of newly diagnosed HNSCC in the elderly is expected to increase by more than 60% by the year 2030. Optimizing postoperative care is vital for patients as they recover from major head and neck surgery to avoid complications, minimize hospital readmissions, decrease healthcare expenditure, and to surveil for recurrence. The aim of this study is to identify patient factors associated with an increased number of posttreatment visits in the first year after major head and neck oncologic surgery in the elderly.