Results of emergency surgical aid by acute diseases of abdomen rendered in 39 Moscow hospitals were analyzed. Results of surgical service were analyzed generally during the period of 1993-2007, and in comparison according to 5-year intervals: 1993-1997; 1998-2002 and 2003-2007 years. Analysis demonstrated the progressive decrease in general lethality, as well as postoperative lethality. The observed improvement is associated with the development of material and technical support, introduction of new technologies, drug supply and resuscitation facilities.