The technical progress in medicine has produced a turn in the classical principles of the operative treatment of numerous diseases, including urological ones. Endourological methods are gaining increasing acceptance in such urologic diseases as renal calculosis, prostate adenoma, etc. They have considerable health and social effect. Their successful implication in every urologic unit requires planned and centralized supply with endourological equipment and training urologists for mastering endourological methods of diagnosis and treatment. Indicated are the factors, which may help for high-quality training of urologists and nurses and technicians. The role of health and other authorities in solving the problems of endourology are pointed out.