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A 79-year-old woman, para 2 + 0, had had slight constipation and retention of urine for one day. Her only noteworthy past history was an attack of cholecystitis. She had had the menopause at the age of 50 yr and no bleeding since. On examination she was found to be fit, non-hirsute and mildly hypertensive (170/100), with a mass in the lower abdomen and pouch of Douglas. At operation on 24 July 1959, the only pelvic abnormality present was a leftsided ovarian tumour impacted in the pouch of Douglas. This was removed, together with the right adnexa. Convalescence was complicated by a urinary tract infection.