1. 1. One hundred sixteen consecutive operations for fractured hip were done under a method of unilateral spinal anesthesia. The details of the method are given. 2. 2. Seventy-two per cent of the patients were poor operative risks and 83 per cent were more than sixty years old. There were no anesthetic deaths. 3. 3. Unilateral spinal anesthesia may be used for hip surgery in old poor risk patients without increasing the hazard of operation.