For the therapy of palpebral xanthelasmas surgical, chemical and physical methods are used. We report on the first results of argon laser coagulation of 32 xanthelasma lesions with an average size of 34 mm2 in 11 women and 2 men. The lesions were treated with argon green, spot size 1000 microns, energy 250-500 mW and continuous mode. The therapy was well tolerated; all lesions responded to the therapy. There were no complications, and no functionally relevant scars developed. The cosmetic outcome was assessed as good or very good in 80%). Twelve recurrences were seen after 12-16 months. The method described represents an alternative treatment in selected cases. It is easy to perform and very well accepted by the patients.