In a Hunterian lecture delivered before the Royal College of Surgeons of England, Victor Bonney1said: "Since cure without deformity or loss of function must ever be surgery's highest ideal the general proposition that myomectomy is a greater surgical achievement than hysterectomy is incontestable." This statement is particularly true when dealing with myomas during the child-bearing period, whatever this period may be. This designated time is arbitrarily set by some gynecologists as terminating about at the age of 40 years but, obviously, the function exists until after the menopause. The psychologic effect produced by the loss of the power to conceive is too frequently disregarded in the management of uterine myomas. It is, of course, much easier to perform a subtotal hysterectomy but the technical difficulties of myomectomy are minimized by good results obtained among young women to whom the procedure is applicable. The decision as to when it