In uncomplicated fractures of the jaw, local anaesthesia has been found to be completely adequate. At the same time, it offers distinct advantages over general anaesthesia. The negative factors common to the use of a general anaesthetic, particularly when of the inhalation type, are eliminated. It is recognized, however, that serious and involved conditions, including the presence of infection, will necessitate the use of general anaesthesia. In these cases the author's preference is rectal avertin.