This 419-page manual is only slightly longer than the fifth edition published 5 years ago and maintains the same direction. There are now 453 color plates, but the quality remains variable. Having been inspired by Dr Sauer's lecture notes over 30 years ago, it remains an "intermediatetype book" directed toward the student and the generalist. Its emphasis on regional diagnosis is as important for today's student as it was when I studied the first edition 30 years ago. The strength and the weakness of the new edition are the fact that it remains a very personal and primarily a single-author text, although new authors contribute to improved chapters on human immunodeficiency virus infection and dermatologic surgery, for instance. Many of Dr Sauer's general comments are welcome advice concerning history taking, patient management, and the kind of culture that should contribute to a successful office practice. Those who appreciate the Schoch