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The use of Pap smears for screening of carcionma of cervix uteri was evaluated in a family medicine unit. The charts of all women aged 18-34 were first reviewed then, over a month, a questionnaire was administered to all women consulting at the unit. For about 40% of the eligible women, no evidence was found that at least one Pap smear had been done over a three-year period. Most of them did not report being followed by a gynecologist. Women consulting for anxiety or depression were less likely to have a Pap smear done at the unit, in spite of the greater number of visits. Nearly 60% of the smears are not done at the unit but by a gynecologist, although only 15% of the women interviewed considered having a regular gynecologist.