Department of Physiology, Fujita-Gakuen University School of Medicine, Toyoake, 470-11Neural organization leading to elicitation and achievement of swallowing is of reflex in its fundamental character. Afferent impulses from the oral, pharyngeal and laryngeal mucosa readily trigger the center of the reflex, the medullary swallowing center, into action. The center is endowed with characteristic property of intergration that controls rigidly the order, duration, intensity and type of behaviour of the participating motoneurons, and hence of the muscles of swallowing. Furthermore, the activity level of the center for repetitive excitation is subserved by an intricate coordination between neurons situated in the anterolateral areas of the frontal cerebral cortex and those in the pontine reticular formations delimitted dorsolaterally to the superior olivary nucleus in both sides.The integrating property of the medullary swallowing center, however, seems immature at the stage of birth, and likely to develop through the period of 2 to 3 months postnatally. During this period of immaturity, the achievement of swallowing would depend variously upon the afferent impulses that are initiated secondarily by the act of swallowing.When swallowing occurs, the neurons of respiratory organization behave consistently as if they were the neurons that participate to swallowing, by revealing momentary activation or arrest in the discharge of impulses. Conversely, when asphyxia occurs, the medullary motoneurons that participate to swallowing become active to discharge volleys of impulses in phase with inspiration or expiration. Reflex swallowing is more readily produced during inspiration than during expiration. Rhythmic activities of motoneurons of mastication are also modified by swallowing. These swallow-combined modifications of respiration and mastication are well preserved after motoparalysis, and hence would suggest mutual and inter-central relations between neural organizations of swallowing and the two others.Based on these facts, some comments have been made on the possible mechanism of dysfunction of swallowing and on future problems involed.