The elucidation of pituitary physiopathology has been a major challeng
e for physicians since early ages. Due to the unawareness of the endoc
rine system, acromegaly, the most striking pituitary disorder, was com
monly regarded as an intrinsic bone disease. Andrea Verga and Vincenzo
Brigidi, Italian authors of the 19th century, reported the first macr
oscopic and microscopic descriptions of pituitary adenomas in acromega
lic patients. Although far from providing a correct pathogenetic inter
pretation of the disease, they opened the way to forthcoming observati
ons and discoveries. A short history of acromegaly and pituitary physi
opathology is drawn.