Case 1.—The first case which I present to you is one of double inguinal hernia. This patient is 30 years of age, is a laborer; general health and history good. Has had this double rupture for twelve years. Examination demonstrates that they are oblique inguinal hernæ; from long existence the internal ring has been dragged down until it is opposite the external ring, thus simulating direct hernia. The term, straight hernia, is used to designate this condition. This man has continuously worn a truss, but even with the truss the condition has been a source of constant annoyance to him. My personal experience with the operation for radical cure of hernia, something more than thirty cases, has been so gratifying both with regard to permanence of cure and freedom from mortality that I feel warranted in advising this man to submit to operation.
On the right side I shall do