There are many small to medium carbonate hosted complex zinc containing deposits where the zinc is not economically recoverable either as concentrate or metal. High grade (>20% Zn) run of mine ore can be processed but even this material gives relatively poor returns. Considerable effort has gone into developing new technology for either upgrading the ore and/or recovering zinc metal hydrometallurgically but there has been limited success. Minetometal has developed a process capable of economically treating these deposits to give marketable lead and zinc products. This paper reviews alternative processes for these ores and gives a detailed description of the Minetometal Process. CITATION: Shaw, R, 2018. Processing carbonate hosted zinc-lead ores, in Proceedings Complex Orebodies Conference 2018, pp 130-131 (The Australasian Institute of Mining and Metallurgy: Melbourne).