The work of coloproctological center of Vishnevsky Central Military Clinical Hospital for he last 10 years is analyzed. The increased number of treated patients and surgical interventions is noted. The greatest group includes the oncological patients and 90% of them are operated radically. Among the peculiarities of treatment tactics the introduction of laparoscopic operations, interoperation intraperitoneal hyperthermal chemotherapy for relapses and metastases, Lango operation for haemorrhoids are noted. 72 casualties with colon injuries were treated in the center.