This Swedish multi-author textbook on gynecology has been well received in Sweden and is now available in a second upgraded edition, partly with new chapters and new authors. It is a traditionally set up book, consisting of narrative with mostly drawings of acceptable quality and some photographic illustrations. It show-cases current thought in Swedish gynecology, although colored by the views of the authors of each chapter (one or two usually), as is expected in a narrative text. In line with this, the references are rather sparse, some are quite old, others are new, with some chapters lacking references to well-known ground-breaking work. The book starts with very well-written chapters on anatomy and physiology and is built up in a traditional way. Not innovative. For a new approach, the second last chapter, on evidence-based gynecology, should have been the first, or one of the first. This would have set the tone for the rest of the book. For a future edition it would be useful to have the evidence base as the nucleus of each chapter and other evidence and best practice considerations for each topic based around this, with a final emphasis on current developments and a look towards front-line advances. As it is, most readers who are not novices in the field will read what they already know. The book was originally aimed at medical students, general practitioners, midwives and nurses, and so it will appeal to those seeking an initiation to gynecology or those who want an overview of the current state of gynecologic practice in Sweden. For the most part, it does not provide the in-depth knowledge needed for a specialist, although some chapters are exceptions. It is too lecture-like and colloquial in parts. The target audience could have been more clearly defined and reflected in the various chapters. There are editorial problems, such as having the figure on page 23 re-published on page 58, and the illustration on uterine anomalies being found in three places, i.e. on pages 31, 74 (not in line with the relevant text on page 75) and 157. Better distinction between primary and secondary amenorrhea would have been good. Although new FIGO terminology is introduced in a good chapter on abnormal uterine bleeding, one wonders if “rikliga menstruationsblödningar” is the right translation of the English term. In the chapter on polycystic ovaries (PCO) it is surprising not to see a typical ultrasound picture of a multi-cystic PCO ovary even if a schematic drawing on page 102 is illustrative. More summary and schematic information in overview tables would have been a benefit here. In the chapter on ovarian cancer there is nothing on centralization of services and no mention of positron emission tomography. This is, however, rightly done in the chapter on endometriosis, where the importance of a team approach is also discussed. But in general, the gynecologic oncology and urology chapters are well written, as are chapters on violence against women, female circumcision and psychosomatic aspects. The book is none the less easy reading. It will be useful for medical students and for a young doctor taking her or his first steps in the specialty and wanting a good orientation on what it entails. The established gynecologist can also derive benefit by taking it along to the summerhouse on the Swedish coast or to the family cabin in the forest by a lake where a week of studying it by the log fire or in the summer warmth on the balcony will be well spent.