Paragangliomas, arising from neural crest cells, can be divided into sympathetic and parasympathetic origin. Most paragangliomas are sporadic, without family history. The patterns of presentation are usually associated with mass effect, incidental discovery, and symptoms from excess catecholamine production. We reviewed the past 14 years, during which there were 13 cases reported in our hospital. Most of the tumors were in the head and neck region, and there were also many cases in our series found in the retroperitoneal area. Surgical excision is still the mainstay treatment for both benign and malignant paragagliomas. This article describes their location, symptoms, treatment, complications, and outcomes at our hospital.