be tied so that the knot lies labially to the teeth in order that it can be removed easily. In placing a tongue suture care should be taken to place it just anterior to the lingual frenum at the midline, to prevent unnecessary tenderness or hemorrhage. After the surgical procedure is com­ pleted, the packs are removed, the throat is checked and aspirated. Gauze packs with a string attached are placed over the operative area and the strings taped to the face. These remain in place until the patient has recovered from the anes­ thetic. In this series, a severe laryngospasm developed in four instances. This compli­ cation can usually be treated effectively by aspirating any mucus, forcing oxy­ gen, injecting an additional amount of atropine or deepening the plane of anes­ thesia. If the spasm continues, intubation should be done immediately. In the entire series, there was only one death. It occurred on the sixth postopera­ tive day. The pathologist attributed the cause of death to terminal bronchopneu­ monia secondary to metastasis from a car­ cinoma of the uterus.