In single isolated skeletal muscle fibers of the frog, we studied (i) the recovery from large sarcolemmal mechanical injuries of the response to electric stimulation and (ii) the integrity of the sarcolemma under the light microscope. In Ringer's solution, the damaged cells stopped contracting and deteriorated completely within 1 hr. In the presence of phosphatidylcholine (0.025 g/ml in Ringer's solution), the injured cells initially responded with local twitches. Within 0.5 hr, contractility and membrane integrity started to recover and both were back to control levels within 3 hr. When these cells were placed back in normal Ringer's solution, they remained viable and active for several hours. Our results suggest that phosphatidylcholine can protect muscle fibers from the effects of sarcolemmal injury.Rupture of the surface cell membrane by mechanical injury is followed by extrusion of the cell contents. However, this process may be stopped by the formation of a film over the ruptured boundary, a process described several years ago and called the "surface precipitation reaction" (1). This would presumably insulate the cytoplasm from the extracellular medium, prevent further loss of intracellular contents, and protect the cell from further deterioration (1). Nevertheless, it is unclear whether this apparent healing is accompanied by the recovery and preservation of cellular functions, including the cell's electrical and mechanical properties, and the formation of a new membrane.The plasma membrane of skeletal muscle is especially fragile. It is common that even minor mechanical stress to the sarcolemma can lead to relatively fast plasma membrane and myoplasmic deterioration, whereas unmyelinated nerves, for example, can survive similar mishandling without apparent deterioration. Healing by the "surface precipitation reaction" after mechanical injury to skeletal muscle fibers (1, 2) has been described as involving a coagulation process and the formation of a "plug" that spreads along the muscle fiber (3). It