To our knowledge of the very perfect operation of litholapaxy I can contribute nothing important. Indeed, I can add but little to what I said about it in 1899 before the Section on Surgery and Anatomy of the American Medical Association1 at Newport.
At that time I stated my opinion that litholapaxy was the operation of choice for the removal of most stones in the bladder. After a much enlarged experience I wish to express the belief that litholopaxy is the operation of choice in all uncomplicated cases of stone, and having seen this opinion constantly supported and confirmed by such masters of genito-urinary surgery as M. Guyon, Freyer, Keyes, Keegan, Chismore and others, it has been a source of surprise to me to find the operation imperfectly understood and little practiced among the younger generation of surgeons.
So great has seemed to me the indifference toward this operation even