Between 1962 and 1971, the U.S. military conducted Operation Ranch Hand under President John F. Kennedy’s orders—a sweeping defoliation campaign designed to strip enemy forces of the dense jungle cover that shielded them. Over the course of the program, American aircraft dispersed more than 19 million gallons of herbicides—including the infamous Agent Orange—across nearly five million acres of Vietnam, Laos, and Cambodia.
While the mission achieved its tactical goals by exposing enemy movements and disrupting their supply chains, the aftermath was catastrophic. The herbicides, laden with highly toxic dioxins, poisoned the land, waterways, and all who came into contact with them. Millions of Vietnamese civilians and thousands of U.S. servicemen suffered devastating health effects—ranging from cancers to severe birth defects—that continue to affect new generations.
Today, Operation Ranch Hand stands as one of the most chilling reminders that the costs of war often extend far beyond the battlefield, leaving scars not only on the land but on the lives entwined with it.
Defoliants as a ‘legal tactic of warfare’
During the Malayan Emergency (1948–1960), the British military experimented with defoliants to combat the Malayan National Liberation Army (MNLA). In an effort to reduce roadside ambushes against Commonwealth troops, they targeted vegetation to deprive guerrilla fighters of hiding places. The chemicals were also used to destroy crops that provided food for the MNLA.
Many Commonwealth soldiers who handled these defoliants experienced severe health issues from exposure. Additionally, reports suggest that upwards of 10,000 MNLA guerrillas and civilians were affected by the chemicals. The long-term environmental impact included significant soil erosion, which has persisted for decades.
This operation influenced the U.S. government’s view, particularly under the Kennedy administration, reinforcing the belief that using such chemicals in warfare was legal.
Agent Orange
The most frequently used “Rainbow Herbicide” during Operation Ranch Hand was Agent Orange, which was a mixture of equal parts 2,4,5-T and 2,4-D. The result of mixing these two chemicals unintentionally created a highly toxic dioxin known as TCDD.
Prior to the Vietnam War, Agent Orange was primarily used in agriculture, and it was also being sprayed on vegetation that grew around railroads and powerlines. When the idea for Operation Ranch Hand came about, the US military obtained a whopping 20 million US gallons – a staggering amount that accounted for 60 percent of the herbicides used in Vietnam.
Agent Orange was named for the barrels the herbicide came in, as were the other chemicals used throughout Operation Ranch Hand, such as Agent Blue and Green (used against crops) and Agent White (deployed when Agent Orange wasn’t available).
Following the decade-long operation, Agent Orange was banned by the United States, with all remaining stock sent to Johnston Atoll, where it was destroyed.
Launching Operation Ranch Hand
The idea for Operation Ranch Hand came following a request from South Vietnamese President Ngô Đình Diệm to help eliminate the jungle hideouts of the North Vietnamese and Viet Cong. That August, the United States helped the Republic of Vietnam Air Force conduct herbicide operations, with the success prompting President John F. Kennedy to authorize a larger operation under the US Air Force, with assistance from the US Chemical Corps.
The chemicals deployed as part of Operation Ranch Hand were sprayed via pumps attached to aircraft (Fairchild C-123 Providers and Douglas C-47 Skytrains), helicopters, boats and trucks – even servicemen carried pumps on their backs. While all operations initially had to be approved by Kennedy, he eventually gave that discretion to the Military Assistance Command, Vietnam and the US Ambassador to Vietnam.
The first official use of herbicides in Vietnam outside of tests began in mid-January 1962. Not only were enemy locations such as hiding places, roads, waterways and crops targeted, but also the perimeters of American camps and airfields to keep them tidy.
A misguided belief the chemicals were harmless to one’s health
Between 2.6 and 3.8 million U.S. service members were sent to Vietnam while herbicides were being sprayed. When Operation Ranch Hand began, the military did not consider the risk to its own troops, so soldiers were not given masks or protective gear.
In a 1988 letter to Senator Thomas Daschle (D-SD), researcher James Clary, who was involved in the operation, explained, “When we initiated the herbicide program in the 1960s, we were aware of the potential damage due to dioxin contamination in the herbicide. However, because the material was to be used on the enemy, none of us were overly concerned. We never considered a scenario in which our own personnel would become contaminated with the herbicide.”
This turned out to be a serious mistake. While the exact number of service members affected is unclear, estimates suggest that over two million Americans suffered health problems because of exposure to the spray, its residue, or contaminated soil and water.
Operation Ranch Hand forever changed the region
Throughout the decade herbicides were sprayed on Vietnam and the surrounding countries, 20,000 sorties were flown over 6,542 missions. According to reports, 24 percent of South Vietnam was sprayed, with 500,000 acres of food crops and five million acres of mangrove trees destroyed.
In Vietnam, it’s been reported that at least 400,000 people died as a result of Operation Ranch Hand and the US military’s use of herbicides during the war, with 4.8 million believed to have been exposed to Agent Orange, in particular. Much of these numbers have been provided by the Vietnamese government, with American officials deeming them unreliable.
What wasn’t considered was the lasting impact of chemicals like Agent Orange on the environment – in particular, on waterways and the food chain. Those not directly exposed to the spraying, and even those who were, found themselves ingesting the various herbicides through the likes of meat and fish.
Operation Ranch Hand was also a breach of international law. Under the 1925 Geneva Protocol, the use of chemical and biological weapons in war is prohibited – and many approached the United Nations (UN) to put a stop to the atrocities being committed by the United States. However, the country’s delegation defeated most of the resolution.
Operation Ranch Hand’s impact on Laos and Cambodia
Although Laos and Cambodia were officially neutral during the Vietnam War, they experienced significant fallout from U.S. military operations, primarily because North Vietnamese forces exploited their border regions as sanctuaries and vital supply lines. By the early 1970s, these zones became a central part of American interventions, including the deployment of herbicidal agents.
Scientific studies on the long-term health and environmental effects of these chemicals in Laos remain scarce. However, reports of birth defects in rural communities similar to those observed in Vietnam, pointing to a shared legacy of dioxin contamination passed down through generations. During Operation Ranch Hand, approximately 600,000 gallons of herbicides—including the highly toxic Agent Purple—were sprayed over Laotian territory.
Documentation of herbicide use in Cambodia is even more limited, though one major incident stands out: in 1969, U.S. aircraft sprayed chemicals over a 173,000-acre rubber plantation in Kampong Cham province. Cambodian leaders had already voiced alarm about suspected American chemical warfare as early as 1964, but this attack remains the best-documented case of herbicide deployment in Cambodia, highlighting the broader, often overlooked, regional consequences of the war’s chemical campaigns.
Birth defects in the descendants of American veterans
The offspring of many veterans who served in Vietnam were born with physical defects, such as spina bifida and other spinal disorders, extra fingers and toes, fused digits and diseases, including several types of cancer. Parkinson’s Disease, nerve and muscle disorders, Type 2 Diabetes and heart disease were also reported, and many children suffered psychological disorders.
Vietnam veteran Mike Ryan was exposed to the herbicides and fathered a daughter who was born with spina bifida, deformed extremities, a hole in her heart and no lower digestive tract, among a host of other problems. There were no genetic problems reported on either side of the family, and the Ryans were considerably healthy, with no drug or smoking histories.
The family made their plight public after hearing of more children with similar problems. In 1980, then-President-elect Ronald Reagan met with the Ryans over their concerns and, later, his administration worked to block their class-action lawsuit, which resulted in US District Judge Jack Weinstein ruling that direct payments could only be made to disabled veterans or survivors of those who’d died. The ruling conspicuously left out their descendants.
Many children of Vietnam veterans exposed to herbicides like Agent Orange were born with serious physical and mental health conditions. These included spina bifida, fused or extra digits, heart defects, underdeveloped organs, and various forms of cancer. Some also suffered from psychological disorders, and illnesses like Parkinson’s disease, Type 2 diabetes, and nerve damage have been reported among veterans and their families.
One such case was that of Mike Ryan, a Vietnam veteran whose daughter was born with severe birth defects: spina bifida, malformed limbs, a hole in her heart, and no lower digestive tract, among other complications. Neither side of the family had a history of such conditions, and both parents were healthy, with no record of smoking or drug use.
After learning of other children with similar health problems, the Ryans went public with their story. In 1980, President-elect Ronald Reagan met with the family to hear their concerns. However, once in office, his administration took steps to block a class-action lawsuit that would have compensated families like theirs. A federal judge, Jack Weinstein, later ruled that only disabled veterans or survivors of deceased veterans could receive compensation—excluding their children and other descendants.
Fellow veteran Royal Gee had a daughter prior to his service in Vietnam who is completely healthy and one born after his return. She suffered from cysts, joint problems and an immune system disorder. This led him to tell ProPublica, “They say it has nothing to do with my service in Vietnam and it stops right there. There’s got to be a reason.”
How has the US government responded?
Since the Vietnam War, hundreds of scientific studies have examined the lingering health effects of herbicide exposure, revealing strong links between chemicals like Agent Orange and severe birth defects, cancers, and neurological disorders. Mounting evidence eventually culminated in a landmark 1979 class-action lawsuit filed on behalf of 2.4 million veterans who had been exposed during their service. In 1984, several of the chemical manufacturers—including key producers of Agent Orange—agreed to a $180 million settlement, marking one of the first major acknowledgments of the human toll caused by the toxic spraying campaign.
The case opened the door to further legal challenges, with some lawsuits even targeting the U.S. government for authorizing the use of such hazardous compounds. In the years that followed, the Institute of Medicine (IOM) repeatedly called on the Department of Veterans Affairs (VA) to investigate the broader, long-term effects—including possible cognitive and developmental harm in the children and grandchildren of exposed veterans.
Despite decades of advocacy, progress has been slow. Only in recent years has the VA begun to meaningfully expand its recognition of the full spectrum of illnesses and conditions tied to Agent Orange exposure. For many families, that acknowledgment has come far too late—offering validation, but little comfort, after generations of suffering.
More from us: 5,000 War Dogs Served in Vietnam and Almost All of Them Were Left Behind
In 1991, President George H. W. Bush signed the Agent Orange Act into law, mandating that the U.S. government formally recognize a set of illnesses associated with herbicide exposure during the Vietnam War as service-connected. The legislation guaranteed that veterans suffering from these conditions would qualify for medical care and benefits without the burden of proving a direct causal link between their ailments and military service.