The first question which arose in connection with the writing of this paper was "What comprises General Surgery?" More and more the content has been narrowed down to leavings after regional specialists have carved out areas. The titles of other papers in this symposium indicate that further divisions are being dispensed on the basis of specific tissues in whatever region they exist, such as cardiovascular surgery, or on the basis of the etiology of the surgical condition, in this case trauma. I like to think of both these subjects as being an integral part of general surgery, and the discussions actually on portions of the whole. This idea seems logical because advances in the field of cardiovascular surgery are exciting and accelerated, worthy of separate coverage. Advances in the surgery of trauma will come with dissemination of knowledge, which demands emphasis.
Another way of looking at the matter is to