Hypoglossal-facial nerve anastomosis had been recommended for patients with loss of the proximal stump of the facial nerve secondary to removal of skull base tumours. This study was conducted on 15 patients with facial paralysis. Patients were grouped into 2 groups operated by modified and classical techniques of hypoglossal-facial nerve anastomosis respectively. It was concluded from our study that the modified techniques of hypoglossal-facial nerve anastomosis are valuable techniques for reinnervation of the paralyzed face without tongue affection.