Carcinoma of the nasopharynx is one of the most frequent malignant tumors in the southern parts of China. A total of 3 263 cases treated with irradiation in the course of the thirty years since the Liberation have been analysed retrospectively. The 5-year survival rate has risen from 27.7 per cent for cases treated during 1955 to 1960 to 54 per cent for those treated in 1973. The technique of irradiation is described, emphasizing the importance of suitable techniques for the treatment of the cervical lymph nodes. The value of elective irradiation of cervical regions not involved clinically is elucidated. Finally, the causes of failure of treatment are discussed.