The aim of the study is to present the epidemiology of tobacco-related diseases in province of Lower Silesia and to determine needs and tasks of medical service at this area. Tobacco use is the leading preventable cause of death in the world, resulting in approximately 4000000 deaths each year (in Poland probably 70.000 deaths). Results of the study can be a ground for planning of health education and health promotion programs. The aim of the education should be to reduce an incidence of tobacco-related diseases. The target groups should be young people and teenagers. It's necessary to create "no smoking" trend. There is an important role of doctor and nurses. They should set a good example.