The value of the T.N.M. system of staging laryngeal cancer that has been approved and recommended by the American Joint Committee on Cancer Staging and End Result Reporting has been shown. The survival rates calculated by the actuarial or life method also recommended by the American Joint Committee have been utilized. It is recognized that, while the material presented demonstrates to a degree the efficacy of roentgen therapy in the management of early laryngeal cancer, it does not completely demonstrate the inefficacy of radiotherapy in some of the more advanced lesions. This is by virtue of the fact that there are insufficient cases in these categories to render the statistics entirely valid. This study has also shown that surgery can be very useful in the management of certain cases of radiation failure.