Penetrating injury of neck is a complicated pathology, and there is more than one opinion of its treatment tactic in nowadays. Our recomendation is to refuse mandatory surgical exploration. There are found some recomendations to refuse routinely performed mandatory explorations, with suggestions of active observation of patients. The results of scientific studies showed, that there is no difference between those two models of treatment and observation. In cases with possibilities of full investigation of patients (panendoscopy, X-ray investigations, ultrasound investigations, angiography), we suggest the model of active observation. If there are no possibilities of full investigation, we prefer mandatory surgical exploration.