Background: Tertiary structure of the ligand binding pocket influences oxygen binding and autoxidation of hemoglobin. Results: E11 mutants have increased autoxidation rate. E11Phe increases, whereas E11Ile decreases the oxygen binding affinity of hemoglobin. Conclusion: Bulky residues at E11 affect ligand binding and cause noticeable tertiary structural changes at the heme pockets. Significance: Hemoglobin distal heme pocket mutations alter oxygen binding properties without changing the quaternary structure.