This contribution to the subject of acute appendicitis is based on a study of 1,000 consecutive cases in which operation was performed by members of the Quain and Ramstad Clinic, Bismarck, N. D., from November, 1919, to September, 1927. The report, submitted herewith in tabulated form, has been compiled by one of us (R. H. W.) after a careful review of our clinical histories. It is hoped that the results obtained by our particular methods of treatment may be of some interest and use to those who may wish to make a larger review of the whole subject of acute appendicitis. It should be stated that the report is submitted, not in any spirit of superior wisdom or skill, but rather with a sense of humility because we have so often failed to save human life. A study of the report will demonstrate that with better surgical judgment there would