An analysis of surgical treatment of 377 patients with advanced thyroid carcinoma is presented. The work included 82 combined, 90 expanded and 218 palliative operations (as well as 68 shave-resections). In 56 cases surgical interventions were two-or three-staged. This approach improved the immediate results and did not change the long-term results of treatment. It was shown that surgical treatment in advanced thyroid carcinoma gave good results in the majority of cases (recovery or long-term palliation). Combined and expanded operations were non effective in anaplastic thyroid carcinoma. In well-differentiated thyroid carcinoma the 10-year survival was noted in 70.2% of patients.