During the mid-twentieth century, the Soviet Union developed ambitious hygiene standards for clean air that were grounded in extremely sensitive methods of physiological research. As Western experts sought to develop universal standards for environmental regulation, Soviet hygiene research posed a challenge. This article examines the discussions surrounding the Soviet approach at international conferences on air pollution and industrial hygiene during the mid-twentieth century. The article shows that although the Soviet approach was rejected especially by United States experts, many of its qualities resonated with the ongoing discussions about environmental health in the US. The sensitive and holistic methods of the Soviets were compelling in the effort to reveal the most subtle effects environments had on human health. This article shows how the rejection of Soviet standards stemmed not from different scientific methods but from the differences in the overall ideals of environmental regulation. I argue that Soviet hygiene can be seen as an extreme version of technocratic expertise, and its failure highlights the limits of scientific expertise in managing environmental pollution.