Since 1987,29 patients with carcinoma of the hypopharynx were treated with various combined therapies, including radical resection of the tumor. Reconstruction using free flaps has also been available for the resected site since 1987. Of 29 cases, the primary sites of the carcinoma were the piriform sinus in 23 cases, postcricoid in five cases and posterior pharyngeal wall in one case. Overall,93.1% were in stage III or IV. The rate of cervical lymph node metastasis was 79.3%overall.