A B S T R A C T Assay conditions have been developed for the determination of urinary 8-glucuronidase, ,8-galactosidase, a-galactosidase, and, -hexosaminidase using fluorometric substrates. The assay conditions for ,8-glucuronidase overcome interference by both low and high molecular weight inhibitors, a problem that has confused earlier studies of enzyme excretion.The fouir lysosomal enzymes are excreted coordinately; although their absolute levels (in units per milligram of creatinine) vary during the day and from one day to the next, the ratio of one enzyme to another remains relatively constant. The lack of correlationi between plasma aind urine enzyme levels, together with the high molecular weights of these enzymes, suggests that the urinary enzymes are not derived by glomerular filtration. The lack of coordinacy with lactate dehydrogenase suggests they are not derived from exfoliated cells. By analogy with experimental animals, they' may be derived from lysosomes extruded into the lumnen of the proxinmal tubule by epithelial cells.There is considerable variation among a poptulation of 125 healthy adult subjects for total enzyme exeretionl. Both total enzyme excretion and coordinacy ratios are log-normially' distributed, suggesting that they are the resuiltants of many factors, each of which has a relative, or proportional, effect on enzyme excretion. About one-half the population variation resides in a process common to the exeretion of all four enzymes (possibly the lsosomiie extruisioni pathway'), and about one-half r-esides in factors affectiing each enzviye independently.