Bonilla‐Velez J, Whitlock KB, Ganti S, et al. - Researchers conducted this retrospective case series to report management of head and neck lymphatic malformations where decisions primarily addressed lesion‐induced functional compromise (ie, breathing, swallowing) to identify factors associated with invasive treatment and active observation. The sample consisted of consecutive head and neck lymphatic malformation patients (2000–2017) with over 2 years of follow‐up. After stratifying by stage, presence of functional compromise, and consideration of natural history, the selection of head and neck lymphatic malformation treatment can be individualized. Recognizing the spectrum of severity is important in assessing the effectiveness of emerging treatments, as selected malformations can respond to observation.