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A comprehensive search for certificate of need litigation was undertaken and the National Health Lawyers Association, based in Washington, D.C., was of great assistance in obtaining many of the cases. Sometimes cases peripheral to certificate of need have been included because the facts or holdings have a bearing on broader regulatory issues. The case briefs were prepared by Albert F. Cacozza who gratefully acknowledges the help of Judith M. Feder, principal investigator of the project, and William G. Kopit of Epstein, Becker, Borsody and Green, consulting attorney. Karen Wolf, Marva Smith, Elizabeth Straus and Martina Pass all helped to prepare this manuscript. The cases are presented in chronological order and an appendix is included which provides a state-by-state case list. Additional products of this study will be legal analysis of the cases and case studies of the role of litigation in the regulatory process.