1865.—I have heard almost yearly of this patient, and lately had a letter from the lady to whom I previously referred, saying that my patient is perfectly well and in robust health. CASE II. TWO YEARS’ ILLNESS—OPERATION—CURES. P. F., æt. 21, single; admitted into the London Surgical Home Jan. 7, 1861. _History._—Attributes her illness to having strained herself two years ago, when lifting a heavy saucepan from the fire. Has ever since that time suffered great pain in the back and side, much worse when she walks, but tolerably easy in the prone position. Catamenia very irregular, both as to time and quantity. Great pain in defecation. Bowels very constipated. Has been eleven weeks in a metropolitan general hospital, and thirteen weeks in a special hospital for women, from both of which she was discharged as having nothing the matter, because she had no evident disease. She had, however, been treated for uterine disease. _On examination_, the uterus was found to be quite healthy; there was, however, evidence of excitation of the pudic nerve. Jan. 10. The clitoris completely excised. Jan. 16. Is much better. Jan. 31. Discharged from the Home, cured. Is quite well in her health, having lost all aches and pains, and being able to defecate without the slightest uneasiness. CASE III. HYSTERIA—THIRTEEN YEARS’ ILLNESS—STERILITY—OPERATION—CURE, AND SUBSEQUENTLY THREE PREGNANCIES. S. S., æt. 33, married; admitted into the London Surgical Home February 23, 1861. _History._—Although married several years, has had no children. About a year ago suffered from pain in the right side, which, however, being treated was cured. In April last the pain returned in the back, and at short intervals has recurred. At times the pain is so severe that she is unable to walk. Has for thirteen years suffered from leucorrhœa, globus hystericus, &c.; and has always had distaste for marital intercourse. _Examination_ confirming me in the diagnosis I had formed of this case, I, on February 28, operated in the usual manner. Her recovery was retarded by an attack of jaundice, but in May she was discharged cured. In July, 1862, this patient was seen quite well and ruddy, and had long lost all her old symptoms. She had been once pregnant, but miscarried at three months. In July, 1865, she came to town with her youngest child. She was quite well, and had never been ill since the operation. _Remarks._—This was the first case of this nature under my care, in which the patient, formerly sterile, became pregnant after removal of the cause of her illness. CASE IV. HYSTERIA, WITH SLEEPLESSNESS—SIX YEARS’ ILLNESS—OPERATION—CURE. H. R., æt. 55, single; admitted into the London Surgical Home Nov. 18, 1861.