
James Marion Sims was born on January 25, 1813, in Hanging Rock, Lancaster County, South Carolina, to Jack Sims and Mahala Mackey Sims. He was the oldest of seven children. His family first had a small farm and then an inn in Lancaster, S.C. He attended South Carolina College (now the University of South Carolina) and in 1835 earned a medical degree from Philadelphia's Jefferson Medical College. Upon graduation, Sims opened a practice in Lancaster. His new practice failed within the year after two infants under his treatment died, and he set out for the frontier region of western Alabama. He settled in Macon County, where he earned a living treating slaves on local plantations. In his autobiography, The Story of My Life, Sims described his rural practice as carrying a gun and riding a pony, his dog running alongside.

In Montgomery, Sims developed his surgical expertise as well as techniques for treating cleft palate. Sims also began his career as a path-breaking and controversial figure in gynecology in Montgomery with his treatment of enslaved women suffering from vesico-vaginal fistulae (VVF) and recto-vaginal fistulae (RVF), which are tears that occur between the vagina and the bladder and less often between the vagina and the rectum as a result of prolonged labor. The condition remains prevalent among poor women in many societies today, and sufferers are usually left incontinent and are often shunned by society.
Under the authority of three local plantation masters, Sims performed experimental surgeries primarily on three enslaved women, Lucy, Betsey, and Anarcha, as well as various others, during the course of nearly four years. Anarcha, for example, had given birth at 17 after laboring for three days. Sims used forceps to end the ordeal and found that she suffered from VVF in the aftermath. In 1849, after some 30 surgeries, all of which were performed without anesthesia, Sims claimed he had cured her.

Sims often suffered from bouts of malaria and other maladies, and in the early 1850s he visited Philadelphia and New York City in search of a healthier climate. His interactions with other doctors in those cities helped to build his reputation, as they learned and began to use his tools and techniques. In 1852, Sims published an article about his VVF surgery and soon after became head surgeon at the Woman's Hospital of the State of New York, founded to treat the condition.
At the onset of the Civil War in 1861, Sims left the United States and settled in Paris. He became internationally famous after ministering to European royalty, including the empress of Austria. After the end of the Civil War, he returned to the United States for a permanent residence. After a conflict with the hospital administration, Sims resigned from the Woman's Hospital of New York State in 1874 and maintained a successful private practice. In 1876, he was named president of the American Medical Association. He composed his memoirs, The Story of My Life, in 1883 just before his death.
Today, there is considerable debate about the ethics of his surgeries. His innovations stand as a lasting contribution to medicine, as many women continue to incur the labor-related injuries suffered by Sims's patients. Generally, however, scholars and other researchers consider Sims's methods unethical, and indeed some have compared his experiments with those conducted during the Tuskegee Syphilis Study and in Nazi Germany. In 2018, in response to the controversy over his methods, the City of New York moved a statue of Sims from Central Park to Brooklyn's Green-Wood Cemetery, where he is buried. In 2021, the city of Montgomery unveiled a monument to the three women who suffered under his experiments entitled Mothers of Gynecology by artist Michelle Browder. The three sculptures of the women were created from discarded metal objects to symbolize how Black women have been treated and to demonstrate the beauty in the broken and discarded. It is located at 17 Mildred Street near the National Memorial for Peace and Justice.
Additional Resources
Harris, Seale, M.D. Woman's Surgeon: The Life Story of J. Marion Sims. New York: MacMillan Co., 1950.
Additional Resources
Harris, Seale, M.D. Woman's Surgeon: The Life Story of J. Marion Sims. New York: MacMillan Co., 1950.
Sartin, Jeffrey S. "J. Marion Sims, the Father of Gynecology: Hero or Villain," Southern Medical Journal 97 (May 2004): 500-504.
Shannon, James. "J. Marion Sims: Man Or Monster: Can We Judge a 19th Century Scientist by 21st Century Standards," The Beat (August 12, 2003), http://www.metrobeat.net/gbase/Expedite/Content?oid= oid%3A2128
Sims, J. Marion. The Story of My Life. Ed. H. Marion-Sims. New York: D. Appleton, 1886.