A paternal tutorial on surgical management, with a young student frequently on the listening end, which describes in not too technical terms the various internal trajectories Dr. Schein makes--primarily in the gastric area (gall bladders, hernias, ulcers--the latter a likelihood for presidents). Dr. Schein has many cultivated tastes (books, chamber music, art), so there are spot referrals to Goethe and Dickens as well as Halsted but for the most part he's interested in explaining: ""You mean, is it the third or the fourth Finger that fits into the other blade of the scissors."" In other words, the specifics of ""cut, clamp and tie"" which is what surgery is, although he only operates when necessary. In between there's a little about schooling, the profession in general, fees, diagnosis, and the ""work out of title"" which plagues every profession and industry going today. He's a nice man but the book doesn't have, nor is it intended to have, any O.R. soap appeal or even that of Dr. Nolen.