“…Unfortunately, in this study we do not have precise estimates of the hysterectomies and oophorectomies performed on these women. Such a review of elective surgical decisions seems especially justified because of mental and physical health consequences documented here and elsewhere (Barker, 1968;Bengtssan, 1973;Gordon, Kannel, Hjortland, & McNamara, 1978;McKinlay, McKinlay, & Bramhilla, 1987;Oliver, 1974;Raphael, 1976). Moreover, unnecessary hysterectomy may have iatrogenic effects not only on health status but also on familial and social relationships affecting health status (Jackson, 1985;Taylor & Jackson, in press;Taylor, Henderson, & Jackson, 1989).…”