Abstract
The question of the relationship of tonsillectomy to poliomyelitis has become more than a scientific one of virology or epidemiology and now involves problems dealing with the philosophy of medical practice. The pediatricians find themselves in a position similar to that of the otolaryngologists, since they are faced with the idea, supported in this case not by theory at all but only by statistics, that the routine immunization procedures that they have carried out may bring about an increase or, at least, a localization of paralysis. There is among their members, therefore, the same attitude that some otolaryngologists have shown: one almost of resentment that any such question should arise and interfere with their routine. Both these problems, like many others in the practice of medicine, resolve themselves into a matter of weighing one estimated risk against another. Any scientific discussion of this problem demands the knowledge and training of
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