A 12-year experience with 154 laparosplenectomies for Hodgkin's lymphoma is reported. In 92 patients the clinical staging was confirmed, in 48 it was worsened, while in 14 it was improved. Therefore it is concluded that laparosplenectomy is still necessary for a proper assessment of clinical staging as well as for a correct therapeutic approach and prognosis in Hodgkin's lymphoma.