A comparative study between three types of hypopharyngeal reconstruction after laryngopharyngectomy is presented by evaluation of the following parameters: complications, duration of hospitalization and postoperative swallowing time. Each group contains the five most recently cases treated at the E.N.T. department of the K.U. Leuven. In recent years, the following types of hypopharyngeal reconstruction were used: the pectoralis major flap, the free radial forearm flap and the revascularized jejunum interposition. For reconstruction of circumferential hypopharyngeal defects after total laryngopharyngectomy, the jejunal graft presents hopeful results.