We review and report here the genotypes and phenotypes of 60 novel thalassemia and abnormal hemoglobin (Hb) mutations discovered following the adoption of routine DNA sequencing of both α- and β-globin genes for all UK hemoglobinopathy samples referred for molecular investigation. This screening strategy over the last 10 years has revealed a total of 11 new β chain variants, 15 α chain variants, 19 β-thalassemia (β-thal) mutations and 15 α(+)-thalassemia (α(+)-thal) mutations. The large number of new thalassemia alleles confirms the wide racial heterogeneity of mutations in the UK immigrant population. Eleven of the new variants ran with Hb A on high performance liquid chromatography (HPLC), demonstrating the value of routine sequencing of both α- and β-globin genes for all hemoglobinopathy investigations. The new β chain variants are: Hb Bury [β22(B4)Glu → Asp (HBB: c.69A>> T)], Hb Fulwood [β35(C1)Tyr → His (HBB: c.106T>> C)], Hb Little Venice [β42(CD1)Phe → Cys (HBB: c.128T>> G)], Hb Cork [β57(E1)Asn → Ser (HBB: c.173A>> G), Hb Basingstoke [β118(GH1)Phe → Ser (HBB: c.356T>> C)], Hb Howden [β20(B2)Val → Ala (HBB: c.62T>> C)], Hb Wilton [β41(C7)Phe → Leu (HBB: c.126C>> A)], Hb Belsize Park [β120(GH3)Lys → Asn (HBB: c.363A>> T)], Hb Hampstead Heath [β2(NA2)His → Gln;β26(B8)Glu → Lys (HBB: c.[6C>> G;79G>> A])], Hb Grantham [β85(F1)Phe → Cys (HBB: c.257T>> G)] and Hb Calgary [β64(E8)Gly → Val (HBB: c.194G>> T). The new α chain variants are: Hb Edinburgh [α70(E19)Val → Gly (HBA2: c.212T>> G)], Hb Walsgrave [α116(GH4)Glu → Val (HBA2: c.350A>> T)], Hb Wexham [α117(GH5) and 118(H1) insertion Ser (HBA1: c.354-355insTCA)], Hb Coombe Park [α127(H10)Lys → Glu (HBA2: c.382A>> G)], Hb Oxford [α17(A15)Val → Asp (HBA2: c.53T>> A)], Hb Bridlington [α32(B13)Met → Thr (HBA1: c.98T>> C), Hb Wolverhampton [α81(F2)Ser → Tyr (HBA2: c.9245C>> A)], Hb Little Waltham [α13(A11)Ala → Asp (HBA2: c.41C>> A)], Hb Derby [α61(E10)Lys → Arg (HBA1: c.185A>> G)], Hb Uttoxter [α74(EF3)Tyr → Asp (HBA2: c.223G>> T)], Hb Harehills [α124(H7)Ser → Cys (HBA1: c.374C>> G)], Hb Hekinan II [α27(B8)Glu → Asp (HBA1: c.84G>> T)], Hb Manitoba IV [α102(G9)Ser → Arg (HBA1: c.307A>> C), Hb Witham [α139(HC1)Lys → Arg (HBA2: c.419A>> G) and Hb Farnborough [α9(A7)Asn → Asp (HBA1: c.28A>> G). In addition, 10 more paralogous α-globin chain variants have been discovered. The novel β-thal alleles are: HBB: c.-138C>> G, HBB: c.-121C>> T, HBB: c.-80T>> G, HBB: c.18_19delTG, HBB: c.219_220insT, HBB: c.315 + 2_315 + 13delTGAGTCTATGGG, HBB: c.316-70C>> G, HBB: c.345_346insTGTGCTG, HBB: c.354delC, HBB: c.376-381delCCAGTG, HBB: c.393T>> A, HBB: c.394_395insA, HBB: c.375_376insA, HBB: c.*+95_*+107delTGGATTCTinsC, HBB: c.* + 111_*+112delAA, HBB: c.*+112A>> T, HBB: c.394C>> T, HBB: c.271delG and HBB: c.316-3C>> T. The novel α (+ )-thal alleles are: HBA1: c.95+1G>> C, HBA1: c.315C>> G [Hb Donnington, α104(G11)Cys → Trp], HBA1: c.327delC, HBA1: c.333_345del, HBA1: c.*+96G>> A, HBA2: c.2T>> G, HBA2: c.112delC, HBA2: c.143delA, HBA2: c.143_146delACCT, HBA2: c.156_157insG, HBA2: c.220_223delGTGG, HBA2: c.305T>> C [Hb Bishopstown, α101(G8)Leu → His], HBA2: c.169_170delAA, HBA2: c.1A>> T and HBA2: c.-3delA.