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edited by Thomas A. Miller, MD, 1454 pp, with 785 illus, ISBN 1-57626-060-7, $145, St Louis, Mo, Quality Medical Publishing Inc, 1998.

Arch Surg. 1998;133:1020.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Reading the surgical literature can at times be demoralizing, as even our most respected publications and periodicals seem increasingly consumed with the latest renditions of HMO- or government-initiated algorithms of cost-effective patient care, or with strategies to maximize the practice expense component of the resource-based relative value scale for individual CPT codes of the HCFA regulations. Such sessions seem to elevate to prescience the century-old prophecies of Karl Marx regarding the impending trivialization of our profession.

Then, just as disillusionment reaches a crescendo, along comes a new surgical publication of significance and worth that defies the trend toward defining surgeons as the mere technicians of multidisciplinary teams. The book is Modern Surgical Care: Physiological Foundations & Clinical Applications, edited by Thomas A. Miller. It is a text that probes the scientific principles that justify our surgical actions, and in doing so competes only with J. Patrick O'Leary's The Physiologic . . . [Full Text of this Article]