This work covers largely the author's technic in the treatment of 1,100 cases of internal hemorrhoids. Injection methods were used exclusively. In view of the well known tendency to recurrence after such treatment, his case might be more convincing if his work included a record of a follow up to show how large a proportion of his cases recurred. The same is true of his practice of "snipping off" hypertrophied papillae. If this alone prevents their recurrence, his experience will be exceptional. There are interesting clinical anecdotes illustrating the author's tact and sagacity in handling patients, and the detailed directions may prove helpful to practitioners who wish to use this method exclusively.