This pamphlet examines the history and future of consultation in the hospital service. It shows that, from its beginning, joint consultation faced particular hazards and difficulties to which a large number of committees have succumbed. The fact that some have survived is a sign of latent vitality and it is proposed that short-term measures should be taken to encourage them. Basically however, it is contended that the time is now ripe to undertake a fundamental reassessment of the role of consultation in hospitals. A plea is made that the General Whitley Council should take an early opportunity of reviewing its aims and its organisations. Suggestions are made in chapter 9 about some of the important matters which might be brought within its scope and an urgent appeal is made to the doctors to participate.