The paper is concerned with the use of peridural anesthesia (PA) in operations for struma in a considerable size and retrosternal localization of the latter, thyrotoxicosis, grave concomitant lesions. The authors have employed PA in 12 patients, in 2 of them in association with endotracheal narcosis, in 9 in combination with neuroleptoanalgesia (NLA), and in 1 postoperatively to liquidate successfully the laryngeal mucosa edema, developed following surgery for struma performed under endotracheal narcosis.