The results of phacoemulsification (phaco) operations which were performed with 3.2 mm incision and foldable intraocular lens (IOL) implantation were reviewed.On forty-nine eyes with cataract of forty-two cases phaco and foldable IOL implantation was randomly performed. The results of the postoperative vision, the refraction and the loss rate of corneal endothelial cell were analyzed.By the 7th postoperative day, the uncorrected vision in 32 eyes (65.31%) was 1.0 or better. The visual acuity in forty-one eyes (83.67%) was 1.0 or better after 3 months of operation. The loss rate of endothelial cells was 11.72%. In the comparison between the postoperative and preoperative corneal astigmatism, the mean former one became against the rule for 0.10 DC.The small incision operations not only can provide a satisfactory early postoperative visual acuity with a slight corneal astigmatism, but also can reduce the time for suturing and avoid the harmful effects of stitches.