By using the subject registers of new tuberculosis cases, which are kept in the subjects of the Russian Federation within tuberculosis epidemiological monitoring, the authors analyze notified extrapulmonary tuberculosis morbidity in 21 subjects (17,301 patients over 1995-2006). Despite the stability of the pattern of recorded pulmonary tuberculosis (PT) as a whole, great differences are found in the notification rate of different forms of PT between individual subjects of the Russian Federation, there are wide differences in the proportion and absolute number of PT patients first detected in the coterminous subjects of the Russian Federation with similar natural climatic and socioeconomic conditions. The registered patients with PT are shown to be a heterogeneous group of patients who substantially differ in gender, age, and the forms of disease therefore the use of total parameters to assess the situation, by detecting and diagnosing PL, is not efficient.