There are still a lot of surgical departments which are fully equipped with endoscopic devices underutilized due to medical personal preferences. The hypothesis is that for active involvement, before getting started working with laparoscopic equipment, a surgeon has to have got a number of special skills. In this study we assessed the efficiency and safety of clinical introduction of laparoscopic method into the surgical practice at the hospital where experienced “laparotomic” surgeons were employed. Twenty nine surgeons from The City Clinical Hospital №52 were involved into this study. Two thousand two hundred and thirteen lapsurgical protocols (except gynecological, urological and diagnostics) made since 2003 till 2009weanalyzed. We have studied any difficulties noted in the protocols, conversions and timing considered previous surgical experience, simulation training. We found out that unstructured experience in endoscopic surgery and basic laparoscopic manual skills impact to the speed of clinical laparoscopic introduction and total amount of steady surgical procedures performed. The results of this study showed that safe introduction of laparoscopy into the operating room should be started with training of basic laparoscopic surgical skills.