A basic set of Sims’ instruments for the repair of vesico-vaginal fistula and remarkable for the inclusion of Sims’ graduated duck-billed specula with tapered octagonal ebony handles as well as Sims’ Needle Holder, Sims’ Straight Scissors, two Sims’ Tenaculums, Long Spring Forceps, and Sims’ Wire adjuster signed by the Toronto, Ontario maker Hartz.