The experience of treating 994 patients with purulent wounds after opening a purulent-inflammatory focus is generalized. Comparison of various methods of treatment It was found that when opening and tamponing purulent wounds with gauze napkins, the terms of treatment are significantly increased, and plastic surgery is possible only in 64.8% of patients. As a result of primary surgical treatment of purulent wounds with the imposition of primary or primary delayed sutures, subject to drainage of wounds and lavage, the healing time is reduced, and plastic surgery is feasible in 87.3% of patients.