The proportion between mineral and collagen in bone tissue, "the degree of mineralization", can be evaluated from the phosphorus to hydroxyproline ratio (P/Hypro ratio), determined in bone biopsies. The ratio was measured in 27 unselected hyperthyroid patients. No significant correlation was found between the P/Hypro ratio and the age of the patient, the duration of the disease or the value of serum thyroxine. The mean value of the P/Hypro ratio for the group studied was not significantly different from the normal mean. The results of the study indicate a normal degree of mineralization in the bone of patients with hyperthyroidism. Though rather asymptomatic in most patients, bone changes have been de¬ scribed for many years in the hyperthyroid state (von Recklinghausen 1891). The incidence of bone changes has been dependent on the method of investig¬ ation. Striation of the cortex of the metacarpal bone cortex was found on x-ray examination in 75fl/o of patients with hyperthyroidism (Meema 8c Meema 1972) whereas a decreased cortical width was found in only a few patients (Ikkos et al. 1971; Koutras et al. 1973; Meema 8c Meema 1972). By osteodensitometric methods a low mineral content was found in about 25 % of patients (Fraser et al. 1971; Meema 8c Meema 1972). Bone histology has shown divergent results in hyperthyroidism. Sometimes increased osteoid surfaces as in osteomalacia