My object in this paper is to call attention to the fact that congenital strictures of the meatus of the female urethra, long disregarded by the medical profession, actually exist and are really of great importance; that they are probably at times the unsuspected cause of pyelitis in little girls and of urinary infection in women, and that they are easily treated by meatotomy. A congenital stricture of the urethral meatus has the same deleterious influence on the urinary tract that an acquired stricture of the meatus has. As a matter of fact, a congenital stricture located anywhere along the urethra is little different in its effects from an acquired stricture, and unless I am greatly mistaken there are few urologists who would disagree with such a statement. Urethral strictures or urethral obstructions to the outflow of urine are, generally speaking, injurious not only in proportion to the amount of