The authors of the article have summarized the experience of multilateral well application, performed an efficiency analysis of multilateral wells vs horizontal wells in Rosneft Oil Company's fields with various subsurface architecture. The algorithm for multilateral well efficiency estimation, compared to other type of well completions, was developed. This algorithm is based on the selection of areas for well locations with similar reservoir properties, reservoir energy conditions, and reservoir development conditions to evaluate production startup parameters, decline rates, cumulative parameters for the areas of over 6 month production. A matrix of multilateral well applicability in various geological conditions was generated, and recommendations for preferable well design were made. This type of analysis was conducted for the first time due to collection of sufficient statistical data, because of a multiple increase in the amount of drilling complex wells in the recent years. The obtained results provide an opportunity to design an efficient field development system for new assets, perform an adjustment of brownfields development systems, select multilateral well design for certain geological conditions based on lessons learned.