I wish to briefly describe a new pile clamp that I have had made and used with great satisfaction. This instrument is lighter and neater than those commonly used, and yet is strong enough to withstand all the pressure required. Being made with smooth, tapering jaws, it is adapted not only to pile operations, but to any place where a clamp may be needed in abdominal or pelvic cases. The opposing edges of the jaws are notched to secure good holding qualities. The cut shows the method of using it in the continuous suture operation for piles. For cautery operations it is simply perfect.