The treatments for head and neck cancer often cause facial deformity and resulting in body image changes. Most of these patients who experienced body image change were bluecollar workers, and hadbarriers to return to work after the treatments. This article focuses on discussions of the concept, assessment instruments, related factors of body image changes, and the impacts on work status, and the implications for clinical practice. The article can provide oncological staff nurses with the knowledge of assessing body image changes in head and neck cancer survivors' and pay attention to their difficultiess related to returning to work during recovery.