Objective To compare the influence of propofol and isoflurane on pro- inflammatory and anti- inflammatory cytokine response to perioperative period of tongue cancer surgery. Methods Twenty- four adult patients undergone the operation of tongue cancer were assigned to two groups randomly, propofol group ( Group P) and isoflurane grou(p Group I). In group P, anesthesia was induced with fentanyl 2- 3 μg/kg, propofol 2 mg/kg, atracurium 0.6 mg/kg and maintained with propofol 5- 8 mg·kg- 1·h- 1 and inhalation of 50% nirous oxid(e N2O∶O2=50%∶50%). In group I, anesthesia was induced with 3%- 4% isoflurane, fentanyl 2- 3 μg/kg, diazepam 0.06- 0.1 mg/kg, atracurium 0.6 mg/kg and maintained with inhalation of 50% N2O and isofluran(e ended- tidal isoflurane was maintained at 0.6%), in two groups atracurium was given intermittently. Blood samples were taken from peripheral vein before anesthesia ( T0), at the end of operatio(n T1), 24(h T2)and 48(h T3)after operation for determination of serum IL- 6 and IL - 10 concentrations. The mean arterial pressure ( MAP) and body temperature in two groups were recorded. Results IL- 6 and IL- 10 levels increased significantly in two groups at T1, T2 and T3 compared with T(0 P