Selective restricted vagotomy was performed on 26 patients for a large variety of indications. This is strictly confirmed to interruption of the vagal nerve supply to the acid and pepsin secreting area, while the vagal innervations of the antrum, pylorous and duodenum is carefully preserved. More complete gastric vagotomy is obtained through careful dissection of the vagal trunks with preservation of the hepatic branch and Laterjet`s nerve of the anterior nerve and the celiac branch of the posterior nerve. Insulin tests and radiographic examinations during post-operation days have established completeness of vagotomy. There have been no postoperative complications, recurrent ulceration or deaths even in case of the longest follow-up of 16 months.