Advocates of the L-C method warn against making incisions unless they are absolutely necessary, the theory being that each cut permits additional bacterial infection and does little good in removing venom. However, McCollough and Gennaro (1963:963) demonstrated that, in bites where the fangs had only slightly penetrated the skin, more than 50 per cent of the venom was removed in some instances if suction was started within three minutes after the injection. With deeper injection the amount of venom recovered sometimes reached 20 per cent of the dose. Stahnke suggested that an incision be made at the site of the bite only after the site has been refrigerated for at least 30 minutes. Stimson and Engelhardt (_loc. cit._) stated that two constricting bands should be used between the bite and the body and that cracked ice in a cloth should be applied to the bite before reaching a hospital. In addition, they suggested the following procedure. Rings of incisions should follow the swelling, and suction should continue for several hours. After the edema has receded, the limb should be wrapped in a towel containing crushed ice. Antivenin should be given only in severe cases. Calcium gluconate and gas gangrene antitoxin as well as antibiotics are helpful. The most recent and up-to-date summary of snakebite treatment is that by McCollough and Gennaro (1963). Following is a brief summary of their suggestions: 1. Immobilization--Systemic immobilization is effected by body rest and locally by splinting the bitten area. 2. Tourniquet--A lightly occlusive tourniquet during a 30- to 60-minute period of incision and suction would seem to possess some advantages. In severe cases where medical attention is hours away, a completely occlusive tourniquet may be necessary to prevent death. Sacrifice of the extremity may be necessary for the preservation of life. 3. Incision and suction--Suction should begin three to five minutes after injection of venom if symptoms of poisoning are present. Incisions one-fourth inch to an inch long across each fang mark should be made in order to open the wound for more efficient suction. Multiple incisions are not useful for the removal of venom but may be employed under hospital conditions to reduce subcutaneous tensions and ischemia. 4. Cryotherapy--An ice cap over the site of the bite for relief of pain would seem to be permissible, especially prior to the administration of antivenin. It must be remembered that cooling during the administration of the antivenin radically reduces the access of the antiserum to the bite area.