Abstract Although I do not feel that epidural anesthesia is the ideal type, I believe it has numerous advantages particularly in those cases usually considered to be poor operative risks. From this series no definite conclusions can be drawn, but it is certain that epidural anesthesia has not received the attention in this country which it deserves. It should be made part of the armamentarium of every anesthestist and general surgeon. Although there are dangers in its administration, care coupled with the negative pressure technique all but obviates them. The fact that one must wait fifteen to twenty minutes after injection for the anesthesia to become effective makes it probable that epidural anesthesia will not be widely used in busy hospital services. However, the advantages of epidural anesthesia more than compensate for this period of waiting.