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My object in writing this paper is to place on record the operative removal of an exceptionally large myoma of the uterus, and at the same time to learn, if possible, from a review of similar cases, if anything further could have been done to promote a more successful result. I was also interested to see how this tumor compared in size with others reported in the literature and what the mortality in a series of such cases would be. Knowledge of mortality is very important, because the question always arises in the mind of both the patient and the surgeon whether it is worth while to attempt operation when the tumor has reached such huge proportions. I felt that I might pick up some details of technic, at operation, in preoperative or postoperative care, that might help me should a similar case present itself. Therefore, the literature on this