First edition of a rare Confederate surgical treatise, in poorer condition than most books of this era due to the poor quality of Confederate paper. Due to the constraints of limited local supplies and the Union blockade of shipping that made European goods hard to procure, Southern paper browned easily and the books were cheaply bound. As the war went on, supplies in the Confederacy became even less available so the later publications were printed on any paper they could find. The physical characteristics of these Confederate imprints are mute testimony about conditions in the Confederacy during the war.Warren (1828-93) was Surgeon-General of North Carolina. Seeing firsthand how poorly the Confederate army surgeons were managing the treatment of the wounded, Warren devoted himself to the preparation of a manual of military surgery, such as his own experience convinced him was necessary. Pretending to no originality, he described various operations according to the data furnished by the best authorities of his time.
