A report is given on therapy and healing results of 226 patients with stage I a cervical carcinoma from 1966 to 1986. The five-years-survival-rate is 94%. Two patients (1%) had a recurrence, another patient died from tumor progression. The tendency of more conservative operation procedures is to be expected during the examination period. Because of a frequency of lymph node metastases of less than 1% lymphadenectomy is not indicated. When having practised cone biopsy and checking clinical and histomorphological parameters by a tumor-score there are given therapeutic recommendations for stage I a cervical carcinoma.