Take: Tincture of nux vomica 2 drams Fluid extract of ergot 4 drams Fluid extract of golden seal 1 ounce Compound elixir of calisaya sufficient to make 8 ounces Directions: A tablespoonful three times a day, between meals. When the prolapse is due to some of the structural defects that were enumerated in the causation of displacements, and that were traced to the accidents of childbirth, then no permanent relief can be hoped for, until these defects are remedied. Pessaries or rings that are introduced into the vagina for the purpose of stretching or spreading out the relaxed folds of the vagina, that they cannot prolapse or fall down, and thus indirectly support the uterus, were suggested by the ancient fathers of medicine. In view of the fact that they were wholly ignorant of the causes that were responsible for prolapses, the remedy was quite practical and ingenious, but to-day, when we are acquainted with the causes that operate in bringing the prolapse about, they are, to my mind, a very unsatisfactory _makeshift_, and afford only a temporary amelioration. A woman who is compelled to wear a ring or pessary is certainly not well, and if she has any hard work to do or must be on her feet a great deal, the pessary will sooner or later so irritate the vagina that it must be removed. Besides this, I always contended that, in the long run, this extra strain on the vaginal walls would only relax them more, and, instead of ever being able to dispense with the use of a pessary, she must increase the size after a while. There are a great many devices in the form of pessaries; some of them are absurdly ridiculous, and more in the nature of instruments of torture than of remedial expedients. Since I learned to know better, I no longer recommend them, and those who desire a radical cure for a prolapse of any kind, will surely be disappointed if they pin their faith to them. I am convinced that they are a great source of evil, and a sure index of ignorance on the part of those who habitually recommend them. The German school of gynecologists have of late years greatly perfected the plastic operations of the vagina, in fact, it is almost a sub-specialty in itself, to which they have given the term _prolapse operations_. A specialist, who is competent in the details of these prolapse operations, can hold out the very best possible chance for a radical and permanent cure, and while the operation requires a certain degree of skill and special training, which should be obtained by practicing these operations on the cadaver, in order to save time, and not bungle the operation on the living subject, as too often, unfortunately, happens. In skillful hands, the operation is entirely without danger, and under proper antiseptic precautions, the results are very satisfactory.