&NA;The cases of 18 patients operated on for hemangioblastoma of the spinal cord were reviewed. There were 11 men and 7 women. (M:F = 1.6:1) and in 15 patients, the onset of spinal symptoms was before the age of 40 years. There were 19 intradural and 2 extradural tumors. The tumor was accompanied by a cyst in 9 patients (50%). There were 6 cases of Lindau's disease, including 3 cases of multiple spinal tumors. Symptoms improved postoperatively in 13 patients, were unchanged in 2, and were aggravated in 3. At the present time, magnetic resonance imaging with gadolinium‐diethylene‐triamine‐pentaacetic acid (Gd‐DTPA) enhancement is the most useful tool for precise localization of the tumor and differentiation of any accompanying cyst. (Neurosurgery25:699‐708, 1989)