Introduction. A comparative assessment of the effectiveness of the traditional and developed systems for the provision of coloproctological care has been carried out. Purpose of work. Analysis of the results of the implementation of the developed system of providing coloproctological care to the population in the Perm Territory. Materials and methods. When analyzing the results obtained, a reliably (p ious systems of organization of the coloproctological service showed that in 2018 this indicator was significantly higher (p ons of using the developed system. The results of the assessment of the proportion of minimally invasive and high-tech operations in the structure of surgical interventions with different approaches to the provision of coloproctological care indicate that the developed system of outpatient coloproctological surgical care has reduced the number of traumatic surgical interventions for hemorrhoidal disease, significantly increased the number of polypectomies with DNR of the large intestine and introduced new ones for Perm. the edges of the technique of operations for polyps and fistulas of the rectum, as well as to increase the number of low-traumatic and high-tech operations for all the pathologies discussed to 80-90%. Conclusion. The increase in the share of minimally invasive and high-tech operations in the structure of surgical interventions in the context of the developed approach to the provision of coloproctological care was reflected in the number. The introduction of the proposed system made it possible to reduce the incidence of postoperative complications and shorten the duration of temporary disability. The results obtained indicate that the developed approach to the provision of coloproctological care has significant advantages over the traditional system and can be recommended for implementation in practice, including in other regions of the Russian Federation.