Aim and objective: This article reviews various methods for prevention of Frey syndrome. Background: Frey syndrome is a late postoperative phenomenon seen mostly after parotidectomy procedures, trauma to the parotid gland, facelift procedures, and rarely after neck dissections. First discovered by Baillarger in 1853 and later described by Lucja Frey in 1923, it is characterized by gustatory sweating and flushing. It results from damage to the sympathetic and parasympathetic nerve supply to the face and the parotid gland. The patients suffering from this syndrome initially complain of sweating near the ear, face, and forehead site on mastication. Clinical significance: Frey syndrome is a condition associated with psychological concerns among patients and exhibits as a social embarrassment. The need for prevention of this syndrome is thereby necessary to provide patients with improved quality of life. Various medical as well as surgical methods have been employed to prevent Frey syndrome. Conclusion: This review article encompasses these various medical and surgical procedures. Long term studies are still to be done to evaluate the efficacy of the surgical procedures.