The giving and receiving of secret commissions has been discussed with increasing frequency for several years. Although the existence of this practice has long been recognized, we have always believed that it has been confined to a comparatively small number of physicians. Condemnation of this evil by the Association, by The Journal and by various medical societies, as well as occasional local investigations and exposures, have apparently failed to abolish it. Recent discussion shows that the better men in the profession appreciate the importance of the problem and the need of its solution by physicians. In this issue appear two articles on the subject, one the president's address before the Western Surgical Association,1 and the other an editorial from Colorado Medicine.2 Both of these articles are severe and carry the impression that the practice is widespread. We are loath to believe that conditions are as bad as represented.