Objective: To review our experience on the difference in management and treatment outcomes of aggressive fibromatosis of the head and neck region in children and adults particularly emphasizing on role of conservative surgery in comprehensive treatment strategy.Methods: A retrospective analysis of patients with aggressive fibromatosis was done during a 5-year period (2008-2012).9 patients were enrolled in this study which included 5 children (＜18 years) and 4 adults (＞18 years).All patients underwent surgical interventions and were treated by surgical resection with different surgical margins.Adjuvant low dose chemotherapy and radiation therapy were given to pediatric and adult patients respectively with macroscopically or microscopically positive surgical margins.