On June 30, 2019, ALA Representatives convened a Round Table Panel on “Management of pre-neoplastic to neoplastic lesions of the larynx: from diagnosis to rehabilitation”, at the 5th Congress of European Otolaryngology – Head and Neck Surgery in Brussels, Belgium. The room was packed with standing room only. A variety of endoscopic and open approaches to management of dysplasia to early and recurrent malignancies were discussed. Representing the ALA were panelists (from left to right) Michael Pitman, Paul Flint, Michael Benninger, Karen Kost, Lucian Sulica, Peak Woo, and Gady Har-El.