SummaryThis report reviews the life of George Macartney Bushe and the first American book on anorectal diseases which he wrote. Bushe'sTreatise, which was based on his literary and practical knowledge, gained the deserved recognition of American and European physicians for many decades.He left a great legacy, an outstanding book on proctology which all physicians can read with appreciation. At a time when no American doctor specialized, Bushe recognized the need for the greter broadcasting of information about anorectal diseases. His outstanding treatise advanced and spread the knowledge of proctology; hence he effectively met the lofty purpose of the American Proctologic Society.