I well remember Ganong's Review of Physiology from my days as an undergraduate student of physiology: it was then in about its seventh edition (am I really that old?). Although it was the recommended text at second year level, it was not my first choice for essay or practical write-up material or for last minute pre-exam revision - probably the only times that the average undergraduate ever consults a textbook. Now, many years later the same book has appeared in its eighteenth edition, and the question is would I use it now, and would it be my recommended student text.