If the tumor, even though small, is intra-ligamentous and of pelvic growth, the expectant plan of treatment is not justifiable. Dangerous pressure-symptoms are too imminent, and if pregnancy occurs labor will be obstructed. If the woman has reached the menopause, if menstruation has ceased, and the tumor is causing no serious symptoms from its size and position, the case may be watched with the hope that the disease will shortly become quiescent. Such cases are exceptional. Usually the tumor produces symptoms that render the woman more or less of an invalid, and she should not be condemned to this suffering and to the dangers of waiting. In these cases we must not rely altogether upon the statement of the woman in regard to the suffering caused by the tumor. A woman, dreading operation, will often underrate her suffering, or she will consider as normal the disturbances to which she has, through a long period of years, gradually become accustomed. No drug has been discovered that has any influence upon the growth of the fibroid tumor. The most serious symptom, hemorrhage, may be alleviated in a variety of ways. Rest in the recumbent posture, to relieve congestion, is most important. Such rest is especially demanded at the menstrual period. Pressure-symptoms and pain are likewise relieved by rest. Careful attention to the regularity of the bowels is desirable. The administration of saline purgatives to the extent of mild purgation depletes the pelvic circulation, and is especially useful immediately before a menstrual period. Coitus should be avoided immediately before and during the menstrual period. Ergot, gallic acid, hydrastis, bromide of potash, and erigeron are useful to control the bleeding. They should be administered in frequently repeated doses for a long period. Thorough curetting of the cavity of the uterus is the most certain method of controlling the hemorrhage. By this procedure the diseased endometrium is removed, and the bleeding is usually very decidedly diminished for several months afterwards. The treatment by electricity, once popular with some physicians, has not stood the test of time and experience. It does not stop the growth of the tumor. It has caused many deaths. It may produce peritoneal adhesions, which render subsequent operation most difficult. Ligature of the arteries supplying the uterus has been performed with the object of arresting the growth of a uterine fibroid. The results of this operation, however, have not been satisfactory. _Salpingo-oöphorectomy_ has been practised for a number of years, and a large number of fibroid tumors have been cured by it. Before the present perfected technique of hysterectomy had been developed salpingo-oöphorectomy was much the safer operation, and was always practised whenever possible. The object of the operation is to cause arrest of growth and atrophy of the tumor by stopping menstruation and producing a premature menopause.