When, in 1888, Dr. Zakrzewska and her two earliest co-workers on the Hospital staff, Drs. Sewall and Morton, resigned as attending physicians and became advisory physicians, Dr. Sewall had in the state of her health an additional reason for relinquishing her arduous duties. And Dr. Zakrzewska suffered keenly during the next few years in realizing the approaching loss of this particularly dear colleague, who had always been to her as her own child though her junior by only a few years. Dr. Sewall died in February, 1890. At the annual meeting at the close of the Hospital year, 1890, Dr. Zakrzewska again was called upon to present the report from the resident physician--this position being temporarily vacant. Referring especially to the increasing work of the Hospital under women surgeons, she says: The results thus far are so satisfactory that no other hospital can show a greater percentage of recoveries. Our reputation for successful operations increases; and the request is often made by patients that no men shall be present. An old lady of seventy-nine years, the prolongation of whose life depended upon the immediate removal of a large ovarian tumor--an accidental fall having caused inflammation--insisted upon having even no consultation with men, nor any men present at the operation, saying, “I am old enough anyway to die, only I don’t want to suffer as I do now; and if the women can save my life for a while longer, I shall be grateful.” She was saved, and went home well in just four weeks from the day of operation. Another change has come with this advance in the medical women’s world. Women now express the strongest confidence in women’s skill, entirely refuting the fears and opinions of former years that “women would never have confidence in their own sex.” The opposite condition has now become so manifest that when in a first consultation a patient decides at once and unreservedly to employ a woman surgeon, we are frequently obliged to remind her that her friends or her family may prefer to have a man perform the operation. A patient was brought into my office from the carriage before the door. She seemed so weak and exhausted that I did not venture to speak frankly to her but called the friends into an outer room and informed them of the need of the removal of a large abdominal tumor without delay. After a short deliberation, they considered it best for me to inform the patient. I did so. A few moments of silence ensued, and then came the response, “Where can it be done? Will you do it?” Answering the latter question in the negative and the former by proposing our Hospital, she replied, “Well, take me there and I will have it done to-morrow.”