The results of treatment of 37 patients, suffering esophageal rupture (ER), which had occurred due to foreign body perforation, thoracic and neck trauma consequences, iatrogenic damage, chemical burn perforation, and 12 patients with Boehrhaave syndrome, are presented. The complex of roentgenological methods was applied for the ER investigation. Surgical methods and operative accesses, depending on the esophageal damage level, are depicted. The esophageal lower third rupture constitutes the most prognostically unfavorable one.