The modern state of laparoscopic surgery in northern regions (Komi republic, Murmansk, Arkhangelsk and Vologda regions) of Russian Federation was surveyed according to the reports of 1998-2007 and 2009 years. Thus, the investigation revealed, that not more than 30% of general surgeons are handle laparoscopic technique. Laparoscopic procedures comprise about 20% of all abdominal operations in the surveyed regions. Statictically significant differences in the use of laparoscopic surgery were revealed between the regions (p