Worthington suggests that if circumcision is necessary it is probably best done in the first few days of life for psychological as well as surgical reasons. Immunization of the infant is usually frightening to the child and reassurance is important. Physical examination should be done slowly and easily with the awareness of its possible frightening affects. All examinations of the genitals should be performed as briefly and as casually as possible. Children should be prepared psychologically for surgical procedures. Operations on the genitals should be avoided whenever possible and psychiatric consultation sought. Enuresis must be considered primarily a psychological problem. In all long illnesses the secondary gain and passive-dependent attitudes must be considered. Obesity and emotional problems usually go hand in hand. In general, pediatricians should regard psychological problems as essential and not secondary in importance.