Aim of the review – to investigate the current surgical approaches and complications of delayed reconstruction of pharyngeal and pharyngoesophageal defects in patients with malignant neoplasms of the larynx and laryngopharynx after laryngectomy using different reconstructive materials. The most frequent complication after delayed reconstructive surgery was anastomosis incompetence with subsequent formation of fistula and stricture. The causes of this complication in the presence of viability of reconstructive plastic material included postradiation changes, inflammatory process in the tissues in the defect area, weakened nutritional status of the patient and a number of other reasons. When planning delayed reconstruction of pharyngeal defects, a personalized approach is necessary in each clinical case in choosing the timing and type of plastic material.