Imaging of the pharynx and larynx has been a difficult challenge for many years. The advent of magnetic resonance imaging (MRI) with its superior soft tissue contrast resolution and multiplanar capabilities has allowed the imaging specialist to examine these structures with unparalleled precision. The recent developments in MRI can also aid the oncologist, surgeon, and radiation therapist in developing a more comprehensive treatment plan for patients with pharyngeal and laryngeal neoplasms. This article describes the important advances in MRI of the pharynx and larynx.