The contribution of nucleons to the quark condensate in nuclear matter includes a piece of first order in m π , arising from the contribution of lowmomentum virtual pions to the πN sigma commutator. Chiral symmetry requires that no term of this order appears in the N N interaction. The mass of a nucleon in matter thus cannot depend in any simple way on the quark condensate alone. More generally, pieces of the quark condensate that arise from low-momentum pions should not be associated with partial restoration of chiral symmetry.There has been much recent interest in the question of whether chiral symmetry is partially restored in nuclear matter.1 The chiral isospin symmetry SU(2)×SU (2) is an approximate symmetry of the QCD Lagrangian, broken only by the small current masses of the up and down quarks. This symmetry is realised in the hidden (spontaneously broken) mode since the QCD vacuum is not invariant under it. The scalar density of quarks, often referred to as the "quark condensate," provides an order parameter describing the hidden symmetry. Any reduction of this condensate in matter has generally been interpreted as a signal of partial restoration of the symmetry.1 For reviews of this topic and further references, see [1][2][3].