Cryptorchidism is one of the most common congenital anomalies in newborn boys. There are various risk factors that have been veri ed to have relationship with cryptorchidism, including exogenous and genetic, but the pathogenesis of cryptorchidism remains unclear. PFKM gene is a critical gene encodes for a regulatory enzyme, which limits the rate in the pathway of glycolysis. In order to investigate the possible association between PFKM gene polymorphisms and cryptorchidism risk, 3 tag SNPs of PFKM gene, rs2228500 (A/G), rs4075913(A/G), and rs11168417(C/T) were selected and genotyped in a hospitalbased case-control study involving 140 cryptorchidism patients and 227 healthy controls. The frequency of allele G of SNP rs2228500 is increased in cryptorchidism patients compared to that in controls (p < 0.05). Genotypic frequencies of rs2228500 are associated with the susceptibility of cryptorchidism in the codominant model (p < 0.05). And compared with G/G genotype in the dominant model, notable decreased frequencies of A carriers (A/G-A/A genotypes) were observed in cryptorchidism patients (p = 0.0069, OR = 1.80, 95% CI =1.17-2.75). This research rstly revealed that PFKM gene polymorphisms were associated with cryptorchidism in a Chinese Han population.