Alkaline phosphatase has been extensively used in diagnosis during the past three decades, and there has been much discussion concerning the origin of the serum enzyme in hepatobiliary disease. It was formerly considered to originate mainly in the osteoblasts of bone and to be excreted in the bile (Gutman, 1959). Many other tissues including the liver, intestinal mucosa, kidney and placenta have been shown to contain the enzyme (Bodansky, 1937, 1948; Armstrong and Banting, 1935; Cloetens, 1939; Sherlock and Walshe, 1947; Burke, 1950; Ross, Iber and Harvey, 1956; Ahmed and King, 1959; Grossberg, Harris and Schlamowitz, 1961; Hodson, Latner and Raine, 1962; Fishman, Green and Inglis, 1962; Moss and King, 1962; and others, reviewed by Posen, 1967), and there is now strong evidence that other tissues, especially the liver, contribute to the serum alkaline phosphatase activity. A number of chromatographic and electrophoretic techniques have been applied in attempts to identify the tissue of origin of the serum enzyme activity, and these led to the recognition of its heterogeneity.