The authors analyze treatment results of 116 patients with gunshot osteomyelitis in conditions of military hospital. The positive and negative aspects of the surgical methods used were discussed. The operative treatment included sequestrnecrectomy, perosseous osteosynthesis by Ilizarov's method, auto- and alloplasty with demineralized bony implants. The method of two-stage treatment of long bone gunshot osteomyelitis with osteoplastic operations after relief of inflammatory process in the focus before development of rough scarring changes in the tissues was proposd.