39 of 40 patients treated by the author up to 18 years with corticosteroids, antibiotics and psychotherapy replied to a postal questionnaire in 1969. For details, see table I. Previous reports of the relevance of emotional stress and personality to the etiology of Crohn’s disease are summarized together with types of provocative stress and personality profile the author has found consistently in this series and previously. The management employed is described. The danger of premature dose reduction of corticosteroids is emphasised. If the normal 33 % relapse rate following surgery is to be avoided or reduced, psychotherapy is essential and also corticosteroids in most cases.