 The objective of this study was to analyze the results of emergency surgery to oncological patients in both general surgical and oncological hospitals in Sogd Region. Methods included analysis of data from 122 patients with complicated forms of malignant neoplasms treated at SRSC in the period from 2012 to 2016. Results showed that 41 patients had colorectal cancer, 21 had gastric cancer, and 87 had tumors of the reproductive system. Additionally, 15 patients had symptoms of a locally advanced process and 21 had distant metastasis. Surgeons did not always perform the appropriate volume of intervention in non-core institutions. Among the 209 patients, 122 received specialized care at SRSC and 87 at general surgical hospitals in the region. Severe complications during tumor progression were not necessarily indicative of non-receptible tumors, and the implementation of emergency operations in general surgery hospitals had several drawbacks. This article was authored by J.R. Sanjanov, Z.H. Huzinzoda, and F.S. Mancharov. We are article.tv, links in the description below.