Objective: The aim of our study was to present our findings in a series of patients who were treated for recurrent parotid pleomorphic adenoma with their clinical, surgical, and follow-up information and to discuss them in light of the recent literature. Methods: Eleven patients who had revision surgery for recurrent pleomorphic adenoma at our institution were retrospectively analyzed for the clinical and radiological features of their lesions, surgery type, facial nerve management, and follow-up period. Results: Seven patients were females and four were males with an average age of 45 years. All patients underwent previous surgeries at other institutions. Revision surgery was performed with superficial parotidectomy in six patients and total conservative parotidectomy with preservation of the facial nerve in five patients. Two patients had lesions involving the facial nerve branches necessitating sacrifice of involved branches. One patientwas given adjuvant radiotherapy because of adjacentlymphatic vessel involvement with tumor cells. Duringthe mean follow-up period of 9.1 years, there were norecurrences in any of the patients.Conclusion: Management of patients with recurrent parotidpleomorphic adenomas must be carefully plannedaccording to the size, location, and multicentricity ofthe tumor and involvement of the facial nerve. Surgeryshould aim at reaching tumor-free surgical margins.Sacrifice of the facial nerve should be considered onlyin cases with direct involvement. In the postoperativeperiod, patients must be followed up regularly for earlydiagnosis of recurrences.