Comparative genomic hybridisation (CGH) is a technique that permits the det
ection of chromosomal copy number changes without the need for cell culturi
ng. It provides a global overview of chromosomal gains and losses throughou
t the whole genome of a tumour. Tumour DNA is labelled with a green fluoroc
hrome, which is subsequently mixed (1:1) with red labelled normal DNA and h
ybridised to normal human metaphase preparations. The green and red labelle
d DNA fragments compete for hybridisation to their locus of origin on the c
hromosomes. The green to red fluorescence ratio measured along the chromoso
mal axis represents loss or gain of genetic material in the tumour at that
specific locus. In addition to a fluorescence microscope, the technique req
uires a computer with dedicated image analysis software to perform the anal
ysis. This review aims to provide a detailed discussion of the CGH techniqu
e, and to provide a protocol with an emphasis on crucial steps.