Discusses the medical activities in the U.S. Army from the inception of the modern Army Medical Department through the Civil War, with emphasis both on medical service in the far West and on clinical, scientific, and organizational advances.

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The state of the art -- Laying the foundation, 1818-1835 -- Indian removal in the Southeast: the second Seminole war -- Lawson's first years as surgeon general, 1836-1845 -- The war with Mexico: the Taylor and Kearny campaigns -- The war with Mexico: Scott's campaign -- Lawson's last years, 1846-1861 -- The Civil War, 1861: many problems, few solutions -- The Civil War in 1862: Learning on the job -- The Civil War in 1863: Hammond's last year -- The Civil War in 1864: the beginning of the end -- The end -- Achievements and failures during the Civil War.