 Objective, to study the results of the first experience of endoscopic upper pectoral sympathectomy, UPS, under the Raynaud's Phenomenon. Methods, the results of the performance of videothoracoscopic UPS in 16 patients with the idiopathic form of the Raynaud's Phenomenon are analyzed. Women were 12, 75 percent, men, 4, 25 percent, at the age of 14 to 24 years, the average age was 24.9 plus or minus 3.7 years. All patients had a second stage of the disease with symptoms of chronic ischemia of hands 2 to 3 degrees. The average duration of the onset of the disease till the operative treatment was 3.2 plus or minus 0.4 years. Results, a characteristic clinical sign of the disease was the symmetrical affection of the hands with the phenomena of cyanosis, hyperemia, modelled skin and hyperhydrosis. According to Doppler scan, in all cases, a decrease in the linear velocity of the blood flow in the arteries of the forearm, hand. This article was authored by our Rachmetolov and B. U. Abduvahedov. We are article.tv, links in the description below.