In vitro studies were conducted on the middle cervical ganglion (MCG) of the cat by recording intracellular action potentials from its neurons. The purpose of this study was to examine the possibility of a peripheral synaptic input to the MCG. Preganglionic electrical stimulation, via the ventral ansa (VA) and dorsal ansa (DA) subclavia, and post-ganglionic electrical stimulation, via the ventrolateral cardiac nerve (VCN), evoked graded synaptic responses that led to the discharge of one or more action potentials in the 14 ganglia studied. The conduction velocity of these pathways ranged from 0.4 to 0.9 m/s. Ten percent of the cells impaled were inexcitable, even with direct intracellular depolarizing current, whereas 80% of the neurons studied received a synaptic input from fibers of both central and peripheral origin. In addition, subthreshold synaptic inputs from peripheral and central origin sum to discharge the cell, suggesting an integration of neural inputs in the MCG. These responses were blocked by d-tubocurarine chloride. This evidence indicates that sympathetic efferent nerve activity can be modified by peripheral excitatory inputs and that these inputs may function as pathways for a peripheral reflex at the level of the MCG.