The heart is opened before the lungs are removed, so that its blood-content may be judged. The section of the neck organs is conveniently carried out according to anatomic relationships, beginning with the tongue. In the abdomen the spleen is removed first because it is the most easily gotten out of the way. The intestines up to the duodenum may be taken next, or the adrenals and kidneys, followed then by the gastro-intestinal tract, pancreas and liver. When necessary the kidneys may be removed in connection with the pelvic organs. In the case of extensive growth of neoplasms, marked inflammatory processes, adhesions, malformations, anomalies, etc., the order must be changed to meet in the best way the demands of the situation. Such changes in the order must always be mentioned in the protocol. It is a great mistake to begin the autopsy with a local examination of a supposed fatal lesion, except in the cases of wounds, particularly in medicolegal cases, in which a most careful and minute description of the wound is necessary. Some writers (_Letulle_, _Heller_, _et al._) advocate the removal of neck, thoracic, abdominal and pelvic organs _en masse_ and their examination outside of the body. Except in rare cases in the adult, and more frequently in the child, this method does not present any special advantages aside from the preparation of museum specimens. It may be convenient to follow it when a very short time is allowed for the autopsy, just sufficient to remove the organs so that they can be examined later. When this method is followed the order should be: 1. Organs should be turned over without twisting, so that their posterior aspect is uppermost. Then the examination in the following order: right and left azygos veins; thoracic duct; removal of adrenals; opening of ureters; removal of kidneys; opening of aorta, inferior vena cava, portal vein and branches, and common duct; examination of pancreas; removal of aorta as far as arch; opening of œsophagus; examination of mouth, pharynx, palate, tonsils, tongue and sublingual glands, epiglottis, larynx, trachea and large bronchi; roots of lungs, prevertebral lymphnodes, and the pneumogastric nerves.