Plasma lipoproteins were analyzed in seven subjects with an isolated deficiency of human growth hormone (HGH). By plasma lipoprotein electrophoresis, each had a prominent beta band, and five also exhibited a strongly staining prebeta band. The prominent beta band was associated with elevation of plasma cholesterol and low density lipoprotein (LDL), while the increased prebeta band appeared to reflect the high levels of plasma triglycerides and very low density lipoproteins (VLDL). Glucose tolerance was abnormal in each subject, but basal plasma free fatty acid (FFA) and insulin concentrations were within the normal range. The data indicate that growth hormone deficiency is associated frequently with an abnormal serum lipoprotein pattern, and that, either directly or indirectly, the pituitary modulates serum lipoprotein metabolism. Cardiovascular disease was conspiciously absent in this group, a finding that will require further investigation.