In this more evolutionist medical textbook, the author strives in a highly scientific jargon to explain the thesis (recovery between other by the transhumanist philosophy) that the human genome is facing a large-scale environmental adversity. Thus, if the selected genes in the evolution of our species have proven suitable since still existing at the present time, we are today faced with gene-environment conflicts diseases thermolysis problem, cardio accident vascular, obesity, ... Thus the full decoding of the genome appears to be an excellent tool therapeutically, although there are still many points to be clarified. Finally, I allow myself to issue, once again, a criticism about the title chosen: "Introduction to Darwinian medicine" would it not be supplanted by "medicine from the perspective of neo-Darwinism"?