The choice of a topic for a presidential address tends to become stereotyped in that such an address generally deals with the problems of the day against a backdrop of the past. This Association has had a brilliant past and at present is a virile, progressive, and withal a pleasant and friendly group. This Association has taken a positive stand for good surgery for 66 years and has been in the forefront of its advances as well as sharing in its problems.
The philosophy of medical education, both undergraduate and graduate, the relation of the surgeon to his patient, and the rise of specialism have been common themes for discussion. It is, therefore, with some trepidation that I discuss a subject which has been thoroughly discussed by others more capable than I. This subject has captured our attention for the past 20 years or more. Not only have new techniques