Summary. Hereditary syndromes with congenital deafness and hypothyroidism have been reported from many countries. The large majority of them are believed to form a single genetic entity, known as Pendred's syndrome, and inherited as a recessive trait. The anatomical basis of deafness is not known. It is generally believed that deafness and hypothyroidism are not causally related, but are independent effects of the gene. The object of this investigation was to test this view by means ofinduced hypothyroidism. Mice from the inbred strain C57BL/Gr were given 0-1% propylthiouracil (PTU) in drinking water, and their offspring were examined. They were found to be practically deaf, and to have serious abnormalities in the inner ear. Addition of thyroxine to the drinking water containing PTU resulted in normal hearing and a normal inner ear, showing that the abnormalities were not caused by PTU as such, but were the consequence ofits inhibitory effect on thyroid function. It is, therefore, highly probable that in Pendred's syndrome and other similar conditions the loss of hearing is secondary to hypothyroidism during fetal life. Suggestions are put forward for mitigating the expressions of these syndromes by treatment with thyroxine during certain stages of development.Hereditary deafness associated with hypothyroidism has been observed in a large number of families in many countries (full references in Fraser, 1965;McKusick, 1971). As the clinical features vary a good deal, it is not possible to say how many distinct genetic entities are involved, but the large majority of these families are similar enough to be regarded as having the same syndrome. Fraser, Morgans, and Trotter (1960) have named it Pendred's syndrome, after Vaughan Pendred who first described it in 1896. Fraser (1965) has shown that it is inherited as a recessive trait, although some minor effects of the gene may be detectable in the heterozygote. He gives the frequency of affected persons in the British Isles as 0 000,075, frequency of the mutant gene causing it as 0-008, and the mutation rate as 56 per million loci per generation. Batsakis and Nishiyama (1962) have estimated that this syndrome accounts for 1 to 10%' of all hereditary deafness.