We have all been the spot with an acute abdomen. Even though the author says the book is for the inexperienced surgeon, everyone from student to professor will enjoy and learn from this charming volume. It is written in a pleasing, chatty, discursive style. Although it is only 106 pages long, it has more practical clinical advice than many current surgical tomes. He starts off with hysterical patients, and how the patient's personality may obscure the correct diagnosis. He explains with personal insight why many of us don't always approach the patient objectively. He then goes on to describe in detail the clinical aspects of almost all the acute abdominal conditions encountered in adults. In this edition he has also included valuable bits of technical advice. Angell, writing from his own broad experience, emphasizes throughout the importance of the history and physical examination. In doubtful cases he rightfully advises