Conservative treatment of Recurring Acute Pancreatitis (R.A.P.) is characterised by a fairly high disease and death rate due to the numerous relapses involving pancreatic lesions of ever increasing severity. 42 patients with R.A.P., subjected to biliary tract surgery at Trieste University Institute of General Surgical Clinic, were re-examined (average follow-up of three years) in order to assess the effectiveness of the treatment given. The follow-up results confirm the need for prompt surgical operation aimed at correcting the biliary pathology and at obtaining complete "restitutio ad integrum" from the pancreatic anatomo-functional standpoint when such therapy has been correctly applied.