Even in cancer of the bowel, we can prolong life, if we cannot save it. Cancer of the bowel sooner or later produces “obstruction” and so destroys life, but in such cases we can either make a permanent opening in the bowel above the cancer, and so relieve the constant pain and distress which is caused by the obstruction, or, in a great many cases, we make an opening in the bowel above the cancer, and another below it, and, by uniting the two openings, if I may so express it, “side-track” the contents of the bowel. If the cancer has no adhesions and the patient’s condition allows of it, we can cut out the entire portion of the bowel containing the cancer, unite the two ends, and thus re-establish the continuity of the intestinal canal. As much as eight feet, nearly one-third of the entire length of the bowel, have been removed by Shepherd, of Montreal, and yet the patient recovered and lived a healthy life. Similarly in gun-shot wounds, stab wounds, etc., involving the intestine, the modern surgeon does not simply stand by with folded hands and give opium and morphine to make the patient’s last few hours or days relatively comfortable, but he opens the abdomen, finds the various perforations, closes them, and recovery has followed even in cases in which as many as seventeen wounds of the intestine have been produced by a gun-shot wound. The kidney, until thirty years ago, was deemed almost beyond our reach, but now entire volumes have been written on the surgery of the kidney, and it is, one might say, a frequent occurrence to see the kidney exposed, sewed fast if it is loose, opened to remove a stone in its interior, drained if there be an abscess, or, if it be hopelessly diseased, it is removed in its entirety. The other kidney, if not diseased, becomes equal to the work of both. Of the pelvic organs, it would not be becoming to speak in detail, but one operation I can scarcely omit: namely, ovariotomy. One of my old teachers was Washington L. Atlee, who, with his brother, was among the first ovariotomists in this country who placed the operation on a firm foundation. I heard a very distinguished physician in 1862, in a lecture to his medical class, denounce such men as “murderers”; but to-day how differently does the entire profession look upon the operation! Instead of condemning the surgeon because he did remove such a tumor, the profession would condemn him because he did not remove it. The operation had its rise in America. Ephraim McDowell, of Kentucky, in 1809, first did the operation which now reflects so much credit upon modern surgery. The mortality of the Atlees was about one in three. Now, owing to the immense improvement introduced by the antiseptic methods, the deaths, in competent hands, are not over five per cent., or even three per cent.