The other five cases succeeded admirably; four of the patients ranging from eight months to three years old, the other a woman of middle age. The first of these cases was operated on for the removal of a watermelon seed. The child was less than 2½ years old, and was very fat, so much so that the depth from the surface, would seem to forbid approach to the external surface of the trachea, still less to the internal, but by patience and perseverance these difficulties were both overcome, and respiration rendered comparatively easy. The next idea, was to get out the seed, and one attempt after another was made to no purpose, the wound inclined to close at the same time. I next lengthened the incision, and the sides of the wound were well drawn apart. My next step was to trim off the sides or edges of the cartilages; this being done, gave the seed a fine opportunity to present itself, and the child was placed in a cradle and diligently watched, with orders to take him in the arms and walk about with him, in case of difficulty of breathing coming on, which had to be done from time to time. The seed was expelled through the aperture to our great joy and gratification, several hours after the last step of the operation. The child was a son of Mr. Thomas Holland, of this county. He grew to adult age, and was killed by a horse running away. From this case I learned that the removal of foreign substances by forceps or other instruments, except they are metallic substances is seldom necessary, there would be much more difficulty in retaining them or preventing their escape. As soon as the windpipe is cut into there is a rush of wind that follows, that moves the substance by the double ability or means of respiration, caused or provided by the operation, and the next we know the substance is expelled. Certain it is, it is not going to stay there, if there is room for its escape and the patient is rightly attended to. When certain that all has come away, apply adhesive plaster drawing the parts together, a stitch or two might be necessary in some cases, it soon gets well.