The authors report on their second experience of a successful separati
on of ischiopagus tripus conjoined twins. Particular emphasis is place
d on the painful decision of sacrificing the only available leg to cov
er the infected wound after an unexpected complication in twin A. The
twins' preoperative evaluation, separation surgery, and subsequent 16-
month course are described. Copyright (C) 1994 by W.B. Saunders Compan
y