Head & neck cancer in Nepal was increasing every year. In this study we focus to determine the current status and trend of head & neck cancer. This was a descriptive epidemiological study with primary and secondary data analysis of new head and neck cancer that were recorded and collected in different data source institution at 15 districts of Nepal from 1st January to 31st December 2013, 2014, 2015, 2016 and 2017. The data analysis was carried out by using SPSS 19.0. The trend of head & neck cancer was seen to be fluctuating yearly during the study period. Though well organized awareness activities, and screening programs are needed to prevent and control the burden of head & neck cancer in our communities.