Abstract Glomus vagale paraganglioma is a slow-growing, benign, and relatively uncommon tumor, accounting for < 3% of head-and-neck paragangliomas. It predominantly arises from vagal nodose ganglion in the carotid sheath and mostly comprises extraadrenal nonchromaffin cells. It usually presents as an asymptomatic cervical mass but rarely can present with local compressive symptoms. Mostly paragangliomas are nonfunctional, however, functional paraganglioma needs to be ruled out by clinical examination (such as tachycardia, hypertension, and facial flushing) and laboratory investigation like vanillylmandelic acid in urine and serum. It also needs to be differentiated from other neck masses, for example, carotid body tumor, carotid aneurysm, nerve sheath tumor, etc., Imaging modalities such as ultrasonography, contrast-enhanced computed tomography or magnetic resonance imaging are required to characterize and diagnose such neck lesions and ascertain their relationship with the neck vessels. Surgical excision is considered the mainstay of treatment which mandates segmental resection of the vagus nerve and results in significant postoperative morbidity. We hereby report a case of 53-year-old female with a large, highly vascular glomus vagale tumor in the neck which was densely adherent to neck vessels (common carotid artery/internal carotid artery/external carotid artery and internal jugular vein) and presented with local compressive symptoms. The patient was successfully managed by preoperative angioembolization followed by transcervical excision of the tumor.