ABSTRACT. The effect of low reactive-level laser therapy (LLLT) with a He-Ne laser on operative wound healing was investigated in a rat model. 10-millimeter surgical wounds were created on the backs of Sprague Dawley rats, and animals were assigned to one of eleven groups (n=5). Ten groups received either 8.5 mW or 17.0 mW irradiation of 15 seconds LLLT a day with one of five different irradiation frequencies, i.e. daily (from the 1st to 6th day following surgery), every other day (the 1st, 3rd, and 5th day), on only the 1st day, on only the 3rd day, and on only the 5th day; the 1st day was the day following the surgery. The control group received no irradiation. A skin specimen was harvested from the dorsal thoracic region on the 7th day to measure the rupture strength. The control group had the lowest rupture strength (5.01 N), and the 17.0 mW every other day irradiation group had the highest rupture strength (13.01 N). Statistical differences were demonstrated in the 8.5 mW irradiation setting between the every other day irradiation group and the control group (p<0.05); and in 17.0 mW irradiation setting between the every day irradiation, the every other day, and the 1st day only groups vs. the control group (p<0.01). Histological examination demonstrated that wound healing in the 17.0 mW every other day irradiation group was promoted most significantly such as the prevention of excessive inflammation, increased formation of collagen fibers, and recovery in continuity of tissues. The control group showed poor wound healing and the other experimental groups showed intermediate healing.Thus LLLT with a He-Ne laser was found to promote the healing of operative wounds in the present rat model, in which the most favorable application of LLLT was the 17.0 mW setting of 15 seconds a day with a frequency of every other day. KEY WORDS: He-Ne laser, LLLT, low reactive-level laser therapy, wound healing.J. Vet. Med. Sci. 69(8): 799-806, 2007 Low reactive level laser therapy (LLLT) [26] has been utilized clinically since the first successful cases reported by Mester [21][22][23]. Many studies have been published and various effects of LLLT have been reported such as (1) promotion of wound healing [3, 5, 14-19, 28, 29, 31-33], (2) alleviation of pain [4,7,32], (3) improvement in local circulation [20], and (4) alleviation of inflammation [2,7,8], and (5) bactericidal effects [12].In spite of this various fundamental questions have not yet been answered. Regarding wound healing, for example, it is not certain when LLLT should be performed following injury, or what level and frequency of irradiation is effective [35,36]. There are also reports that deny any effect of LLLT on wound healing [9,28], and doubts about its effect on neurological functions have also been voiced [7]. One of the reasons why such controversy arose may be the lack of an evaluating method to enable us to examine the effects of LLLT with sufficient accuracy.Focusing attention on the promotion of wound healing by LLLT, and on the fact that the functio...