This is a historical medical illustration, likely from an old book. It depicts a stone-removal procedure. The central focus is a low, rectangular table with a patterned cloth draped over it. On the table lies a reclining figure, presumably a patient. The patient's body is partially visible, and there appears to be an incision or opening in their lower abdomen. Around the table are various tools and instruments, including what appear to be knives, forceps, and other surgical implements. A chair is positioned near the table, and a bed is visible in the background. The room is sparsely furnished, with a simple architectural design. The illustration is rendered in a detailed, engraved style, with fine lines and shading. The overall tone is somber and clinical, reflecting the serious nature of the medical procedure being depicted. There is text in Latin below the image.