Transorbital lobotomy accomplishes much the same effect that topectomy of Areas 9 and 10, in that it abates the psychosis without producing any undesirable personality changes.Transorbital lobotomy is simple, quick, and safe. It is recommended particularly for psychiatrists in mental hospitals where major neurosurgical procedures are not available.Transorbital lobotomy under electroconvulsive shock should be undertaken when active therapy fails or is about to be replaced by "maintenance therapy." It should be definitely understood, however, that the procedure is a minor one and that some cases may later require major lobotomy for permanent relief.Abstract Teaser