A neck for a stringed musical instrument includes a foam core formed with a peghead and layers of reinforcing material positioned over the foam core. A surfacing material is bonded to the layers of reinforcing material and to the foam core to establish an external surface for the neck. The musical instrument includes a body attached to the neck and a truss rod assembly that is embedded in the foam core is adjustable to move the peghead relative to the body for tuning purposes. In manufacture, the foam core is molded in a primary mold. The layers of reinforcing material are then positioned over the foam core to create a preform assembly. Next, a surfacing material is shaped by the cavity surface of a secondary mold and the preform assembly is placed in the secondary mold. When the secondary mold is closed, a vacuum is drawn in its cavity and resin is injected into the cavity to bond the preform assembly to the surfacing material for manufacture of the neck.