This venerable text, the acknowledged standard source for indications and techniques, now enters its sixth edition, eight years after the last was published. The page total has increased from 871 to 938. On the cover, John Thompson's name has been added to Richard Mattingly's. The latter has done a superb job over the years of steering this text along the difficult course of including and excluding data.
Among the welcome additions are sections on the psychological aspects of surgical care (especially in extirpative surgery) and a timely chapter on breast disease. Although most gynecologists do not perform breast surgery, they can detect more pathological conditions of the breast than other individual specialists because of their role as primary care providers for women. Minor procedures such as office breast cyst aspiration are well detailed. Other sections of the text have been updated, such as the use of staplers for bowel anastomosis.