The surgical treatment of tuberculous patients who no longer respond to a medical or hygienic regimen is beginning to be the accepted procedure in this country, to the great satisfaction of those who have long believed in its efficacy and the possibility of thus bringing help to many patients in an advanced stage of disease. It is recognized that these patients should not be obliged to travel many hundreds or thousands of miles in order to find specialists who are able to establish the proper indication for operative intervention, and to carry out the required work intelligently and correctly in all its details during and after the operation. It is therefore to be expected that soon every large city in America will have competent medical men who have seen, examined and studied patients of this type from the medical roentgenologic and operative points of view and who have exchanged views