The following case came under my notice several years ago: The patient was a negress between 35 and 40 years of age, the daughter of a native African father, who was captured in Africa, sold into slavery when a boy, lived a slave in Tennessee, and died at the age of 115 years. The patient lost both small toes by ainhum and suffered great pain during their spontaneous amputation, which required several months to complete. During this time her general health was not seriously disturbed. This patient was the property of my father, the late Moab Stephen Smith, and lived to be about 90 years of age. I send this for record in the list of ainhum cases.