Colour matching and colour constancy were studied in seven patients and 46 control subjects. Subjects were required to match Munsell Colour Chips presented under either identical or different illumination. Three of the patients had deficits in colour constancy, i.e. failure to compensate for the change in the wavelength composition of the illumination. Two of the patients with defective constancy had suffered bilateral cortical damage to the posterior lingual and fusiform gyri, and one patient had a lesion restricted to the same regions of the right hemisphere. Our observations indicate that these cortical areas, which include part of putative human area V4, play an important role in colour constancy.