This is a slight affection at the start. There may be a slight infection of the peritoneum from an extension of the disease in the pelvis. There may be a slight infection following an operation which opens the peritoneum. This disease often ends in adhesions--by adhesive inflammation. In that case the treatment must be for the removal of the adhesions. Following the removal of ovarian and fibroid tumors, normal ovariotomy, and operations for appendicitis, we hear of a great deal of trouble caused by adhesions. In many cases there are no adhesions, the pain and discomfort complained of by patients being due to intestinal indigestion and a distention from gas; but in these days we are having a great many patients sent to the hospital for secondary operations, for the purpose of breaking up old adhesions, etc. Every case must be a law unto itself, and whatever is necessary should be done. I have not met with so many adhesions as one would suppose in an active practice in a country where this derangement is heard of often, following the numerous operations to which people are subjected.