Vascular tumors of the head and neck are a heterogeneous group of neoplasms, ranging from such common, benign lesions as facial hemangiomas to rare malignant tumors such as angiosarcomas. Because many of these tumors are quite rare and may occur in areas unfamiliar to the non-otolaryngologist, such as the nasopharynx, larynx, and middle ear, their presentation and differential diagnosis may not be familiar to the general medical practitioner. In addition, the treatment of many of these lesions is still evolving, with the advent of preoperative embolization and laser excision improving the morbidity of what may still be a difficult surgical removal. The authors review the presentation, treatment, and prognosis of the more common vascular tumors of the head and neck.