Organized gonorrhea control programs came into being in 1972-73 and have four major aspects: education, case finding through culture "screening," treatment of cases, and case investigation. Experience in Upstate New York indicates that case investigation and the provision of public diagnostic and treatment facilities are the most important of these. A relatively stable reported incidence of gonorrhea 1972-74 despite more aggressive detection of cases suggests that control efforts are beginning to interrupt the transmission of gonorrhea.