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In the article the analysis of two-year activity of the surgeon in the department of palliative care of the MBU of the Central Clinical Hospital № 2 is presented. A.A. Mislavsky. It is convincingly shown that it is formed, first of all, from consultative work, from the connection of the department with the high-tech surgical centers of the city, and only then from the production of surgical interventions. Our experience convinces us of the necessity to have a dressing nurse in the staff of the palliative department (at the main job for the whole rate), it would be good to have a specialization in surgery, a set of surgical instruments, a dry closet, modern dressings.