Now, after flexing the thighs upon the abdomen, an incision may be made through the skin of the mons veneris just over the anterior commissure of the vulva of the female, and over the penis of the male, and then carried back upon either side of the genital organs, meeting behind the anus, near the point of the coccyx. This incision may be carried through the superficial tissues, down to the pubic arch, when the crura of the penis, or clitoris, may be detached from the rami of the pubes, by carrying the knife close to the bone. The finger may now—after a slight use of the knife—be pushed beneath the arch of the pubis, and made to appear in the pelvis. Taking this as a guide, the knife may be introduced at this opening, and carried deeply along the ramus of the ischium and pubis of either side, dividing the levator ani muscle and pelvic fascia. The bladder may now be drawn forward beneath the arch, this followed by the rectum, deep incisions being carried back to the tuberosities of the ischia and point of coccyx, and thus the whole mass removed entire. The external parts may afterwards be so drawn together by stitches, as to make the absence of the external organs scarcely noticeable, while a bundle of rags crowded into the pelvis from above, will prevent the possible escape of any of the abdominal contents. Where the _internal organs_ only, are required to be removed; after they have been detached upon all sides as before directed, the knife may be carried down beneath the pubic arch, and the urethra divided, in the male, just in advance of the prostate. Incisions may now be carried back upon either side of the bladder and rectum, dividing the levator ani muscle, when, by drawing upwards upon the mass, the rectum, and in the female, the rectum and vagina, may be divided near their lower ends, and the whole removed together. In many cases it may be desired to remove the uterus of the female alone. This may be done by dividing the broad and round ligaments upon either side, when, by dragging the uterus forcibly upwards, the vagina may be cut across about an inch below the cervix, and thus the organ removed. In all cases, a few rags should be crowded into the pelvis for the purpose of preventing the escape of any fluids.