In no phase of medical practice does one escape the difficult differential diagnostic problems presented by the chronic female psychoneurotic patient with her multiple complaints. One can only surmise the large number of such persons who are subjected to needless medical and surgical procedures through failure of the physician to recognize the underlying psychiatric illness. Therefore it seems important to reemphasize some of the problems presented by this group and to survey a representative number of psychoneurotic women in an attempt to determine the incidence of unwarranted surgical operations. An approach to this problem is found in the available literature. McGeorge1in 1934 studied a group of patients hospitalized for nonorganic mental illness and found that 16 per cent of 132 female patients with hysteria (age range 15 to 35 years) had been subjected to operations which were ill advised, inasmuch as the patients' complaints had a psychogenic basis.