This updated list of 410 books and 136 journals is intended as a selection aid for the small library of a hospital, medical society, clinic, or similar organization. Books and journals are arranged by subject, with the books followed by an author index, and the journals by an alphabetical title listing. Items suggested for first purchase by smaller libraries are noted by an asterisk. To purchase the entire collection of books and to pay for the annual subscription costs of all the journals would require an expenditure of about $12,000. To acquire only those items suggested for first purchase, approximately $3,250 would be needed.