This work is devoted to extolling the vaginal approach in gynecologic surgery. Each operation, from simple episiotomy to removal of ovarian cysts, is minutely described. Spinal anesthesia is used and both shock and peritonitis are found to be infrequent as compared with general anesthesia. The Schauta method of vaginal hysterectomy is preferred to that of Wertheim, and the author reports twelve such hysterectomies for carcinoma of the cervix. Hemostasis is emphasized in all the accounts of technical methods, since small masses of blood left in the tissues are excellent places for the growth of bacteria.