This is a report concerned with the procedure of percutaneous cervical cordotomy. Technical details, advantages and problems of the operation are discussed. Percutaneous cordotomy definitively is to be prefered over open cordotomy. Advantages are: control is more definite, complications are easier to avoid, shoulder-arm pain is better treatble, the procedure is generally less taxing, postoperative hospitalisation is shortened. Problematical are bilateral cordotomies with high levels or cervical analgesia, due to disturbances of respiratory function and furthermore the cooperation of the patient. In 72 percutaneous cordotomies we controlled pain in 90%, 41% experienced paresis of different localisation, mortality was 6,9%.