In my section of the country, elephantiasis is certainly an uncommon disease. My only case, and the only one so far recorded by any observer from this state, is the one herewith presented. By a fortunate circumstance, about the time this patient was admitted, there came from Dr. Rudolph Matas 1 of New Orleans his monograph on elephantiasis, which sums up all that is known of this disease and its kindred affections up to the present time, and to which I am indebted for valuable information. Particularly do I wish to testify to the benefit derived from an operation proposed by the Greek surgeon Kondoleon, to whom Matas gives full credit. History. —Charles P., a mulatto, aged 23, was referred to me in December, 1913, by a physician in Sanford, N. C., with the suggestion that I should amputate his leg. The patient was willing to submit to amputation, since