The manual describes the features of the surgical anatomy of the chest, abdomen and pelvis. Information on the structure of the chest cavity, volume-structural analysis of the variant anatomy of the lungs, anatomical and surgical prerequisites for possible complications of operations on the lungs, especially surgical anatomy of the heart. Surgical anatomy of the abdominal organs is supplemented by a description of possible anatomical difficulties in the interpretation of situations that arise during the implementation of surgical intervention. The publication presents options for blood supply and innervation of the organs of the male and female pelvis. A general characteristic of the structure of the perineum is given, the surgical anatomy of the male and female external genitalia is described. The book is intended for specialists in the field of thoracic, abdominal and general surgery, coloproctology, urology and gynecology, as well as for senior students of medical universities .