Damage control surgery represents widely implemented technique of treatment of seriously injured patients all over the world. In medical facilities with large number of seriously injured patients, type of injuries often imposes method of damage control surgery as ultimate way in treating such patients. In Emergency center from 2005-2009. 895 patients had been operated because of the trauma to the abdomen and thorax. Method of damage control surgery had been implented on 41 patients (4.6% of all operated patients). 18 patients died, and 30 seriously injured patients that hadn't been treated according to this method had died in operating room. Likewise, 11 non-trauma patients were treated according to the principles of damage control surgery because of uncontrolled bleeding. The greatest challenge today is defining criteria for choosing right patients for damage control surgery.