The authors in this literature review consider and reveal the history of the issue, epidemiological and surgical aspects of acute obstruction of the colon of tumor genesis. It is noted that patients with colostomy are permanently disabled in acute large bowel obstruction of tumor origin. The presence of a colostomy in these patients often exacerbates the course of comorbidities, thereby making it difficult or excluding the possibility of performing the recovery phase of the operation. They conclude that today there is still a need for further research and a comprehensive in–depth study of the issues of surgical tactics. The solution of these issues will reduce the frequency of postoperative complications, mortality, improve the performance of labor and social rehabilitation of this contingent of seriously ill patients.