Fractures of the neck of the femur and intertrochanteric fractures are seen frequently in a general hospital practice. The more recent methods of internal fixation for these types of fracture have greatly simplified their management and have produced a much higher percentage of good functional results than was obtained with previous methods. In the placing of the mechanical aids, Smith-Petersen nails or Moore pins, the control of the position of the fragments of bone and of the appliance depends largely upon radiologic observations. The purpose of this paper is to outline a method, developed by the author during the past several years, which provides adequate x-ray control and has the distinct advantage of materially shortening the procedure. With this method, placing of the nail or pin in the average intracapsular fracture is completed—from incision to closure—in twenty minutes, and intertrochanteric fractures require only a little longer. In two of our cases the entire procedure was completed in thirteen minutes. A special table, constructed of wood, facilitates the procedure. This table has a double top of ordinary plywood with room between the two pieces to insert a film for anteroposterior views if these are desired. The wooden top also allows for fluoroscopic control during the course of the operation. In the upper sheet of plywood two slots are cut at an angle of 135 degrees. These extend into the table a total distance of 6 inches and are of such a width as to admit an x-ray plate. The patient is so placed on the table that the crest of the ilium will just touch the cassette when it is inserted in the slot (Fig. 1). A small portable shock-proof x-ray unit is placed under the knee of the normal leg at right angles to the cassette. This provides a lateral projection of the femoral neck. A second mobile apparatus is placed beneath the table. It is equipped with fluoroscopic shutters and, with the shutters open, is used to take postero-anterior views. Thus, neither piece of x-ray equipment has to be moved during the procedure. The film is placed in the position for the lateral projection by simply raising the sterile drapes and working beneath them. The postero-anterior projection is taken by throwing a sterile sheet over the operative field and placing the cassette on top of the sheet. When fluoroscopic control is required, the surgeon works beneath the sterile sheet while the radiologist works from above. We have had no case of infection as a result of this technic. Mr. Virgil L. Barnard of Los Angeles, Calif., has described a special top to be used upon a regular operating room table which allows anteroposterior and lateral views to be taken without disturbing the sterile operative field. Our set-up is somewhat similar, but with the following differences. The entire table top is built of wood, which allows the use of a fluoroscope in checking the insertion of the guide pin and also the insertion of the Smith-Petersen nail.