This volume comes as a great surprise at a time when restrictions on the use of paper have made books with adequate margins, widely spaced type and fine printing an unusual item in the field of typography. The authors have had the assistance of several physicians, who have aided in the collection of the material. Their book gives a good picture of the state of medical practice in the Midwest during pioneer times. There are records of the early development of the medical schools in the Midwest and of the medical periodicals. The charlatans are given adequate consideration. Altogether, this is a volume that will appeal to any physician interested in medical history in the United States. The book is illustrated with interesting black and white sketches and reproductions.