Careful study of aspiration of cystic disease of the breast in recent years has been rewarding. Progressive refinement of technique has resulted in reduction of needle size; omission of local anesthesia; repeat aspirations without reluctance; cell block deemed unnecessary, after a long series of negatives, except when grossly indicated; lessening of need for mammography; and regarding the patient safe after successful needling. The scar tissue of partial mastectomies which causes overlook of tumor on palpation is avoided, mental trauma prevented, and hospital costs eliminated. Statistics confirm that many women between 30 and 50 years of age are still being admitted for biopsy of breast lumps that could better have been needled away. The dire need for beds for true emergencies makes the subject timely.