Paragangliomas, such as carotid body tumors, are rare, typically benign vascular neoplasms arising at the bifurcation of the carotid artery or along other paraganglionic tissue in the neck. Surgical resection is the gold-standard therapy to prevent local invasion, cranial nerve palsies, and potential malignant transformation. The procedure demands meticulous vascular and nerve management due to the tumor’s rich blood supply and proximity to cranial nerves (IX, X, XI, XII).