This article has been written purposely in a style that is entirely foreign to the usual scientific publication, which follows a strict cut and dried pattern, stating the problem with its history, experimental and clinical notes and discussion, then closing the article with conclusions. Probably the main reason that this discourse does not follow the usual routine is because it is believed this will be enjoyed by Dean Lewis, who in his prime, endowed with that gift of the warmest human relationship, always maintained his students' utmost interest by striving for something new, different from the ordinary and entirely free from dulness. Although this article may seem to lack the genius of Dean Lewis and contains nothing startling, it no doubt expresses the opinions of many general surgeons. Further, it may bring out many truths not to be found in much of the literature on this most common of surgical conditions. It is believed that even in the most formal medical journals an occasional publication of this type will be welcomed by the physician.