In nine patients with GM, gangliosidosis, liver ganglioside GM1 B-galactosidase (EC 3.2.1.23) activity ranged from less than 0.01% to 0.05% of normal. In a tenth patient's liver, much higher activity was found (0.5% of normal). In this patient the residual enzyme had the same molecular weight as fl-galactosidase A, the major form of 6-galactosidase of normal human liver. No activity was found that corresponded to j3-galactosidase B, the minor form of human liver #-galactosidase. On starch gel electrophoresis, the patient's enzyme migrated less anodally than normal j3-galactosidase A, both before and after treatment with neuraminidase. P-Galactosidase from the patient had a Km that was higher than normal; 5-fold higher with ganglioside GM, and 2-fold higher with 4. methylumbelliferyl j0-galactoside. The patient's enzyme crossreacted immunologically with normal ,6-galactosidase A and had about 100-fold more antigenic activity per unit catalytic activity than the normal enzyme. The results indicate that in this patient a P-galactosidase A protein with altered charge and altered catalytic properties was present in relatively normal amounts, the first electrophoretic variant reported for a patient with a lysosomal hydrolase deficiency.