A total incidence of flight personnel third place takes surgical pathology, which is one of the leading causes of disqualification. Conditions that determine occupational health status of flight personnel with surgical diseases are appropriate therapeutic and preventive measures and regular medical monitoring. In purposes of qualified decision of diagnosis, treatment, examination, treatment and preventive measures of surgical pathology in flight personnel it is suggested to develop in accordance with the guidelines and latest developments in surgery "Guidelines for the medical health monitoring of flight personnel in surgical diseases of the aviation of the Armed Forces of the Russian Federation".