**Abstract**

Dysphasia is regarded as one of the common complications following anterior cervical discectomy and fusion, the reported incidence varies widely and is depending on several factors, such as smoking, multi levels, anterior plating, we will discuss historical review, pathogenesis, epidemiology, clinical presentation including presentation including perioperative and postoperative recommendation and will end up with different stops and tricks to decrease this complication, in each topics we will review the evidence based articles.

**Keywords:** dysphagia, ACDF, cervical plating anterior cervical spine surgery
