The author deals with the problem of medical secrecy in conjunction with AIDS. He draws attention to some problems pertaining to the relationship of legal authorities and health facilities in conjunction with the provision of data from the medical documentation. He presents brief information on the discussion about compulsory medical secrecy in some western countries in conjunction with AIDS. The author reaches the conclusion that it will be necessary to create prerequisite conditions for the objective evaluation of the problem, while accepting the justified protection of rights of HIV carriers and patients with AIDS, as well as the interests of preserving the health of other citizens.