[Should a doctor be insistence in proposing surgery for cancer?]

On a basis of a large personal experience in treatment of patients with gastro-intestinal cancer the author considers the expediency of convincing patients in surgical treatment of gastro-intestinal cancer, especially in the new social situation in Russia. Positive experience in long-term follow-up (more than 10-20 years) of patients, operated on because of cancer, is one of pro factors for such a convincing. The results of long-term follow-up (exceeding 9 and 25 years) of the patients operated on in gastro-intestinal cancer (including primary-multiple cancer); the clinical case of a patient, who was operated for several times at the period of 13 years-10 malignant tumors were removed from his body; the clinical case of a patient, who was operated in case of 3 sinchronous cancers (cancers of pancteatic head, rectum and ascending colon) illustrate the benefit of the operative intervention.