Salivary gland tumors are very rare and diverse group of head and neck tumors. They most commonly appear in parotid gland, small salivary glands and submandibular gland. Salivary gland tumors are generally benign and localized in parotid gland. The most common benign tumor is pleomorphic adenoma, and the most common malignant tumor is mucoepidermoid carcinoma. The main metastatic pathway is in the regional lymph nodes of the neck. Regional metastasis, tumor localization and histology are important prognostic factors. The managing of primary tumor includes a complete surgical excision with free margins and a neck dissection dependent on cN and localization of primary tumor. Justification for elective neck dissection is questionable due to low frequency of occult regional metastasis. The goal of this retrospective study was to determine the frequency and distribution of occult regional metastasis in patients with salivary gland tumors. This retrospective study included 33 patients with histologically verified malignant tumors during a period of almost 10 years (2010. – 2019.). According to the results of this study, the frequency of regional occult metastasis was 3.03%. Malignant tumors of submandibular gland most frequently metastasized. The most frequent localization of regional occult metastasis was in region I of the neck.