Ten cases, six men and 4 women, with paralysis of the trapezius muscle have been treated in the past 25 years. Most cases were the result of accidental injuries. Half were of iatrogenic origin, namely, paralysis followed removal of small lipomas from the neck area. The right side was involved six times, and the left four times. Ages ranged form 28 to 65 years. All patients were handicapped in using their extremities, causing marked weakness in abduction, with difficulty performing activities such as fishing, tennis, golf and other sports, as well as simple tasks like combing their hair, putting hand behind neck and elevating the arm. The operation consisted of transferring the insertion of the levator scapulae with a fascial sling through the acromion. The fascial sling was also used to anchor the spinal border of the scapula to the spinous processes of the upper dorsal vertebrae. The lateral transfer of the rhomboid muscle in a double-breaster fashion was added to this procedure. The results were as follows: Excellent and good 75% and fair 25%. In this later group, all patients demonstrated much improvement compared with the preoperative status.