Results of 927 simultaneous urgent operations performed on account of associated surgical and gynaecological pathology were analyzed. Urgent combined operations on account of acute gastrointestinal diseases and concomitant gynaecological pathology, independently of a primary cause, are advisable and justified. Non-eliminated concomitant disease or deferred second operation can lead to complications. The V (extreme) stage of operative risk can be the contraindication to the simultaneous combined surgery.