In the Annals of Surgery for September, 1904, I described an operation which I had devised, and the feasibility of which I had demonstrated on the cadaver, for the establishment of an artificial vagina in cases of acquired or congenital absence of that organ, by transplanting a loop of intestine. A very thorough examination of the literature of artificial vagina had been made for me by an expert connected with the Library of the Surgeon General's Office, and the operation suggested was found to be entirely unique.
Three years later, having had an opportunity to employ this method. I reported1 the case in full at the twentieth annual meeting of the American Association of Obstetricians and Gynecologists. I have now had four of these cases and can recommend this method of operating to the profession with very great confidence.
Patient.
—My fourth case was in a young woman,