Abstract The period 1950 to 1962 has seen improved results for both radiation and surgery. Radiation will provide good survival results in patients with mobile cord lesions without involvement of the anterior commissure. Laryngectomy is the treatment of choice for anterior commissure involvement even when cord motion is normal. Surgery, however, is the treatment of choice for fixed cord, extrinsic endolaryngeal, and extrinsic exolaryngeal lesions. The absolute five year survival with no evidence of disease showed an improvement of 40, 40, and 30 per cent, respectively, over radiation in these categories.