Abstract: Objective :To explore the effects of Lahey's and Lawrence's reconstruction procedures on nutritional status and digestive symptoms following total gastrectomy for gastric cancer. Methods :To analysis retrospectively 146 patients performed total gastrectomy for gastric cancer. Among them, 83 cases were by Lahey's reconstruction procedures and 63 cases by Lawrence's. We focused on the com-prision of the weight changing, the nutritional status and digestive symptoms in 6 months after operation. Results :In 6 months,the weight loss of Lawrence group was less than that of Lahey's significanly. For the level of total protein and albumin,they increased in Lawrence group, but decreased in Lahey's, and the difference was significant. The changing tredency for hemoglobin level in Lawrence group was less than that of Lahey group,but there was no significant difference.For the quantity and frequency of food intake, there was no significant difference. In Lawrence's, the number of patients with vomiting were less than that in Lahey's significantly. Conclusion :The Lawrence reconstruction procedure is a kind of reasonable ones following total gastrectomy for gastric cancer.