Experiments on SMM, GAMMA, Yohkoh, GRAN AT, Compton GRO, INTEGRAL, RHESSI and CORONAS-F satellites over the past three decades have provided copious data for fundamental research relating to particle acceleration, transport and energetics of flares and to the ambient abundance of the solar corona, chromosphere and photosphere. We summarize main results of solar gamma-astronomy (including some results of several joint Russian-Chinese projects) and try to appraise critically a real contribution of those results into modern understanding of solar flares, particle acceleration at the Sun and some properties of the solar atmosphere. Recent findings based on the RHESSI, INTEGRAL and CORONAS-F measurements (source locations, spectrum peculiarities, He-3 abundance etc.) are especially discussed. Some unusual features of extreme solar events (e.g., 28 October 2003 and 20 January 2005) have been found in gamma-ray production and generation of relativistic particles (solar cosmic rays, or SCR). A number of different plausible assumptions are considered concerning the details of underlying physical processes during large flares: (1) existence of a steeper distribution of surrounding medium density as compared to a standard astrophysical model (HSRA) for the solar atmosphere; (2) enhanced content of the He-3 isotope; (3) formation of magnetic trap with specific properties; (4) prevailing non-uniform (e.g., fan-like) velocity (angular) distributions of secondary neutrons, etc. It is emphasized that real progress in this field may be achieved only by combination of gamma-ray data in different energy ranges with multi-wave and energetic particle observations during the same event. We especially note several promising lines for the further studies: (1) resonant acceleration of the He-3 ions in the corona; (2) timing of the flare evolution by gamma-ray fluxes in energy range above 90 MeV; (3) separation of gamma-ray fluxes from different sources at/near the Sun (e.g., different acceleration sources/episodes during the same flare, contribution of energetic particles accelerated by the CME-driven shocks etc.); (4) asymmetric magnetic geometry and new magnetic topology models of the near-limb flares; (5) modeling of self-consistent time scenario of the event. (c) 2012 COSPAR. Published by Elsevier Ltd. All rights reserved.