Introduction. The relevance of the study is due to the trend of increasing incidence and mortality of cervical cancer. Cervical erosion is a precancerous condition, which dictates the need for its timely detection, treatment and prevention. The situation is complicated by the environmental and hygienic conditions of the Republic of Dagestan, which are discussed in more detail in the article. Purpose: to propose recommendations aimed at improving the effectiveness of preventing cervical erosion among women in the context of environmental and hygienic risks in the Republic of Dagestan. Materials and methods. Scientific articles, literary and scientific sources, official statistics were used as materials. The following research methods were used: systematic literature review, comparative analysis, methods of environmental hygienic assessment. Results. The environmental and hygienic factors that pose the greatest danger to the reproductive health of women in the Republic of Dagestan have been identified. It has been revealed that, as of today, the most effective prevention of cervical erosion and other diseases of the reproductive system of women is the strategy of determining and subsequent minimization of risks (environmental, hygienic and other risks of the Republic of Dagestan) of their occurrence of these diseases. To implement this strategy, the author of the study proposes the following recommendations: educate the population of the Republic of Dagestan about environmental and hygienic risks, as well as the negative consequences of this disease and its relationship with cervical cancer; improvement of the screening system with intensification and increase in coverage with regular preventive examinations and Pap tests, vaccination against the human papillomavirus with a preliminary study to determine the population characteristics of infection among women in the Republic of Dagestan. Each recommendation is discussed in more detail in the article. Conclusions. On the territory of the Russian Federation there is a tendency to increase the incidence and mortality of cervical cancer, and on the territory of the Republic of Dagestan there are environmental and hygienic risks, measures are needed to prevent both the cancer itself and precancerous conditions. The recommendations proposed by the author in the framework of this study contribute to the improvement of the prevention of cervical erosion and other precancerous conditions.