THIS paper is in many ways different from the others in as much as it does not deal with the scientific aspect of this problem, but rather the socioeconomic aspects of an affliction when suffered in a country which is a strange mixture of the modern and the ancient. While in the larger cities and hospitals we can muster quite a fair amount of modern technology and surgical skill, the day when the patient returns to his native village he is living under primitive conditions, lacking in such basic requirements as minimum home facilities, medical help, freedom of space to move at home, rutted and muddy roads unsuited for moving on wheelchairs or hand-operated tricycles. The lack of basic education in many patients makes the choice of a new vocation more difficult. During the last four years a small paraplegic unit has been functioning at the J. J. Group of Hospitals. All 60 cases of traumatic paraplegia have been treated by us. Their age, sex and occupational status and cause of the accident are shown in Tables I-III. Table I shows the age and sex incidence among our cases. As is usual the most common incidence is among males of 21-30 years. The overall picture also shows a considerable predominance of males over females, 92 per cent to eight per cent. The oldest patient was of 75 years and the youngest II years.