Microdosimetry was used to investigate three issues at the neutron therapy facility (NTF) at Fermilab. Firstly, the conversion factor froµi absorbed dose in A-150 tissue equivalent plastic to absorbed dose in ICRU tissue was determined. For this, the effective neutron kerma factor ratios, i.e. oxygen to A-150 tissue equivalent plastic and carbon to A-150 tissue equivalent plastic, were measured in the neutron beam. An A-150 tissue equivalent plastic to ICRU tissue absorbed dose conversion factor of 0.92 ± 0.04 was determined. Secondly, variations in the radiobiological effectiveness (RBE) in the beam were mapped by determining variations in two related quantities, e* and R, with field size and depth in tissue. Maximal variation in e* and R of 9 % and 15 % respectively were determined. Lastly, the feasibility of utilizing the boron neutron capture reaction on boron-10 to selectively enhance the tumor dose in the NTF beam was investigated. In the unmodified beam, a negligible enhancement for a 50 ppm boron loading was measured. To boost the boron dose enhancement to 3 % it was necessary to change the primary proton energy from 66 Me V to 37 Me V and to filter the beam by 90 mm of tungsten. Vl List of Tables 1 Several fast neutron therapy facilities and some of their characteristics. 6 2 The diameter, density, mass and cross section of the tissue cell and counter cavity. 3 Conversion factors between y, Y, D 9 and E, for a 2 µm gas filling.