A 14-year retrospective review and analysis of 150 previously untreated patients with scquamous cell carcinoma of the hypopharynx are presented. Clinical stage by UICC (1974) had a great influence on the prognosis. Five year survival rates were 56% in T1 and T2 cases and 21% in T3 cases. Patients with cervical lymph nodes involvement had poor prognosis, especially in the cases of carcinoma of the postcricoid and posterior wall. The desirable choice of treatment at the first time is radiation therapy for patients with carcinoma of the piriform sinus and surgical treatment for patients with carcinoma of the postcicoid and the posterior wall.