Twenty-two cases of carcinoid of the large intestine are presented. The pathology, clinical presentation and long-term results are reviewed. Eight of the 22 patients had evidence of nodal or distant spread and eight patients are known to have died of the disease, seven of the eight within five years of surgical operation. Criteria for malignancy are discussed and therapy based on these factors is considered. The most favorable results occurred in those who had wide excision of the tumor and node resection. There were no cases of carcinoid syndrome in the group.