Failure in accomplishing results is due to three things, viz., (1) Insufficient knowledge of diagnosis and prognosis; (2) insufficient knowledge of what should be accomplished and the technique of doing it, and (3) the necessary additional or supportive treatment. It is a great mistake to think that the removal of adhesions in the pharynx or nares is sufficient, because if this is not followed by the proper supportive treatment, no results or even bad results will frequently occur. This treatment is not a massage in any sense, but a definite operative procedure and requires as much care and skill as the removal of adenoids or tonsils. Space will not permit an explanation of the digital technique and the radical treatment should not be attempted without some definite knowledge of the methods and technique. =Intranasal Treatment.=—The intranasal method of treatment as explained above under hypertrophic rhinitis is very effective and if carefully and thoroughly done is in most cases just as efficient as intranasal digital surgery. This treatment followed by irrigation and oil spray and nasal packing will be found effective in most cases if the treatment is properly done. =Nasal Packing.=—Thorough packing of the nasal cavities after all sources of focal infection have been removed and after thorough cleansing has been done, by means of long strips of absorbent cotton is effective in reducing the swelling and irritation. =The Radical Packing Method.=—This method can be done best in a hospital. The nares are prepared as for surgical operation, by complete retraction of all erectile tissue, thorough cleansing by irrigation and the application of a local anesthetic. Anesthesia need not be complete. A careful examination is then made for any synechia, or focal infections. Packing should never be done until the doctor is sure there is no sinus involvement. The entire nasal cavity is then packed very firmly with sterile gauze. This is best done by means of a special packing instrument or long nasal packing forceps, using narrow gauze contained in tubes. In some cases the nasal cavity is lubricated before packing. The packing should be done early in the morning and removed just before bed-time, so that the patient may sleep. This treatment is repeated daily until all signs and symptoms of nasal irritation are gone and then replaced by irrigation and oil spray. If this treatment is properly done, there will be a complete sloughing of the pseudo-membrane followed by a restoration of normal and resistive tissue. The results of our two years’ experience (we have tried this on only a few patients each year) are very encouraging. Relief from the symptoms are very prompt and seemingly more permanent than from other methods. =Treatment of Auto-intoxication.=—All sources of focal infection are thoroughly treated. Sinus infection is very common and must receive proper attention before any other treatment can be effective.