The impact of high dams with large reservoirs with long-term regulation is covered in the scientific literature quite widely. The information and recommendations on the use of low-head dam for the creation of the low backwater are not enough. Large dams reduce the mean annual flow downstream, the magnitude and frequency of floods, lead to the accumulation of suspended solids, nutrients compounds (nitrogen, potassium, phosphorus), which, together with increasing temperature leads to the “blooming” phenomenon of the reservoir and the overgrowth, create barrier for sediments transferring and fish. The main reason of the deterioration of the water quality is the water retention time in the formed reservoir and anthropogenic pollution, although the literature rarely provides quantitative data of the water retention time for the evaluated reservoir. The environment risks assessment of the impact of the reservoir should include the calculation of the water retention time, the presence of pollutants in the river, which may indicate future negative effects. The hydrological regime of the river after the backwater creation should correspond to the natural flow with the floods passage by the entire width of the river bed, which will significantly improve flood management, sediments transport and washing the river bed. The significant risk is the shallowing of the river downstream, the amount of water discharged into the downstream should be at least 75% of the river flow. Releasing the flow to the downstream with an overflow or through fish passage structures allows to enrich the water with oxygen. In order to preserve biodiversity, it is necessary to create or leave islands and shallow water areas for the needs of waterfowl. To ensure an environmentally friendly regime operation of the low-head dam the crest of the spillway structure should be at the bottom level along the entire cross section. The low-head dam should be provided with automatic control system and communication with the hydrometric station for a quick response to the flow changes in the river.