Cases of elephantiasis are sufficiently rare in this climate to warrant the reporting of all observed cases. It is for this reason that we submit the following case report: REPORT OF CASE History. —Miss C., aged 40, a domestic, born in southern Germany, her name indicating French descent, had come to this country in early childhood and had lived in St. Louis without intermission since. She had the usual diseases of childhood, but otherwise had enjoyed good health. At an early age, her mother experienced increasing difficulty in fitting her right shoe, the right foot being apparently somewhat swollen. Since then the right foot had progressively enlarged, the swelling gradually affecting the leg. She was placed under the care of Dr. H. H. Summa, who had since had her under observation. He made the diagnosis of elephantiasis of unknown origin, and tried various methods of combating it, among them bandaging