SummaryRecords of 13 patients submitted to total gastrectomy or cardio‐oesophagectomy are presented.Eight patients survived operation, one dying at the end of six months from acute intestinal obstruction.Seven patients are still living, 4 having survived for a period of at least twelve months.A plea for early diagnosis has been made because all these patients had advanced malignant disease and some were poor risks.The operability rate has been extended as far as possible. With earlier diagnosis and increasing experience, it is felt that the mortality can be lowered.These extensive operations may be considered justifiable if the patient can live in comparative comfort for a year or mor