The Department of Otolaryngology—Head and Neck Surgery has spearheaded a larger and more formalized multidisciplinary Skull Base Tumor Board. The board meets monthly at Columbia University Medical Center and brings together skull base tumor experts to discuss optimal treatments for individual patients. Complex tumors are discussed, including meningiomas, acoustic neuromas, pituitary tumors, and schwannomas. The board includes subspecialized otolaryngologists (anterior skull base, lateral skull base, head/neck surgical oncology, and facial plastic surgery), skull base and cerebrovascular neurosurgeons, radiation oncologists, neuroradiologists, and neuropathologists. With this pooled experience, the tumor board is able to make patient-centered decisions that are less biased by a particular provider’s personal experience or specialty. The end result is more individualized and more advanced care.