This is a report on the discharges from acute public hospitals participating in HIPE in 2007. Discharge activity is examined by type of patient and hospital, and by demographic parameters (such as age and sex). Particular issues of relevance to the Irish health care system covered in the report relate to the composition of discharges by medical card and public/ private status. Discharges are also analysed by diagnoses, procedures, major diagnostic categories and diagnosis related groups. The analysis is presented at the national level and is also disaggregated by Health Service Executive (HSE) administrative areas.