Large hernia which have gone unreduced for years have not been treated by injection and discretion demands that for some time, or until injection treatments have been practiced upon many patients, that large ruptures which have been outside the abdomen for long periods be left to the surgeon or be injected only by practitioners capable of doing the cutting operation in the advent of the failure of the injection treatment. The author for his own part has felt no hesitancy in injecting cases which promised a fair degree of success, realizing full well that untoward symptoms of a local character may be overcome by free dissection, removal of the paraffin and restoration of the inguinal canal by the usual surgical means. CONTENTS PAGE Foreword 3 Preparation of the skin 10 Preparation of the hands of the operator 12 Preparation of the syringe 15 Preparation of the paraffin 18 Posture of patient for injection 23 Skin infiltration to permit of insertion of long needle without undue pain 25 The effect of paraffin compounds upon the tissues 27 The immediate after effects of the paraffin injections 30 The precaution used to prevent throwing of paraffin into the circulation 32 Factors to be considered in dealing with inguinal hernia 35 Where the injection should be placed 39 The amount of paraffin to be introduced in a given case 42 Technic to be used in injecting inguinal hernia 44 The injection of femoral hernia 51 Injection of umbilical hernia 53 Case reports 69 Cosmetic Surgery The Correction of Featural Imperfections BY CHARLES C. MILLER, M. D. Very excellent and practical. _Southern Practitioner._ Will fill a distinct place in the realm of surgery. _Cleveland Medical Journal._ Covers a most important field of special surgery. _Southern Clinic._ The book is certainly a valuable contribution to the subject. _Ophthalmology._ Has gone far beyond the limits of surgery as understood and practiced in this country. _British Medical Journal._