After this operation of ventro-suspension the fundus uteri does not remain permanently in contact with the anterior abdominal wall. In time it drops somewhat backward and downward. The silk sutures drag out a ribbon-shaped fold of tissue consisting of peritoneum and a little muscle-fiber from the anterior abdominal wall, and a similar fold of peritoneum and perhaps some muscular fibers from the uterus, so that in time the uterus becomes attached by a slight pliable ligament from one to three inches in length (Fig. 97). Bimanual examination of the uterus one year after this operation shows that the uterus has about the normal range of mobility. If this operation is properly performed, the course of subsequent pregnancies and labors seems to be in no way impeded. The operation of ventro-suspension should always be accompanied by perineorrhaphy in case there has been laceration of the perineum. The two operations may be done at the same time. The treatment of retrodisplacement of the uterus may be briefly summarized as follows: The cases of retrodisplacement of the uterus suitable for treatment by the pessary are those in which there are no adhesions and in which there is no disease of the Fallopian tubes or the ovaries. If a prolapsed ovary returns to its normal position when the displacement of the uterus is corrected, it will of course not be pressed upon by the bar of the pessary. But in some cases the ovarian prolapse continues even though the uterus is in its normal position, and under such circumstances a pessary usually cannot be tolerated. The cases that offer the best prospect of cure by the pessary are those cases of retroversion, occurring as the result of labor, in which the perineum is intact, and which are seen within one or two years after the occurrence of the lesion. The prognosis becomes more unfavorable the longer the condition has existed before treatment. Cases of congenital retroversion, or those occurring in young unmarried women, are very difficult to cure with the pessary. This instrument should always be tried for a few months, however, before operative measures are advised. In such cases the uterus has been so long in an abnormal position that its natural supports have become permanently altered, and some continuous additional aid is necessary to maintain the normal position. Every woman who uses a pessary should be under the supervision of a physician, and for this reason it is often most advisable to recommend immediate operation to poor women as the quickest and surest method of cure. Immediate operation should always be advised in all cases of retroversion with adhesion or with disease of the tubes and ovaries. It should not be forgotten that we occasionally see women with retroversion of the uterus who present no symptoms whatever referable to this lesion. In such cases no treatment is required.