Analysis of lung cancer incidence in Moscow residents shows that of late the rise in the incidence has occurred only in absolute number. Intensive rates remain stable. The number of cases in the age groups 1-59, 60-69 and 70 years and older is approximately the same. Of all the patients who need treatment annually, it is provided to one-third of them and surgical treatment to 16.18 %. The percentage of operable cancer patients drops with age. Basing on his own 10-year surgical experience, the author thinks it proper to rise surgical activity in the elderly patients.