School of Medicine for Women. Here she met with small encouragement, her prolonged stay in India and her naturally frail physique producing an unfavourable impression of her ability to follow such a strenuous profession. She was, however, accepted, and in 1879, in company with three other candidates for the first medical examination, she passed. In November 1882, aged 37, she received a degree of Bachelor of Medicine and Surgery with Honours in all subjects, the Gold Medal and the Scholarship in Obstetrics; shortly after this she gained second-class Honours in Surgery. As did many men at that time, she went for six weeks to study operative midwifery in Vienna, and by her persistence she obtained practice and experience. She met with Queen Victoria who was curious about the status of Indian women and intrigued by Scharlieb's narrative. In 1883, she returned to India, and became lecturer in midwifery and gynæcology at the Madras Medical College and examiner in the same subjects to the university of Madras. Five years later, she returned to Britain to study for a higher degree in medicine, receiving her M.D. from the University of London in 1888. From 1887 to 1902 was surgeon at the New Hospital for Women (now the Elizabeth Garrett Anderson Hospital, Euston Road) initially assisting Dr Elizabeth Garrett Anderson, and being senior surgeon from 1889. In 1887, she was appointed lecturer on forensic medicine to the Royal Free Hospital, in 1889 lecturer on midwifery (until 1913), and in 1902 chief gynæcologist. At the London School of Medicine for Women, she was the first woman to lecture in medical jurisprudence. In 1897, she obtained the Master of Surgery degree, thus being the first woman in Britain to secure the M.D. and the M.S. degrees. Scharlieb was the first woman to be elected to the honorary visiting staff of any general hospital in the UK. She remained in this post until 1908. Among her students was Helen Hanson, who was so inspired by Scharlieb that she followed her example and became a medical missionary in India. She began her private practice after returning again to England, on 21 May 1887, with five patients in the morning, at 75 Park Street, where she shared an office with her medical student son. Five months later they moved to number 149 Harley Street, where she lived and practiced for nearly forty years. She was a member of