Fetal tissue grafting has been used in Russia for some 15 years for the treatment of insulin-dependent diabetes meUitus with complications. The use of cultured islet cells from the fetal human, as well as animal, pancreas has been successful even in the absence of immunosuppression. This review concerns only studies carried out in the CIS and the rest of the former USSR. It describes the treatment of complications of diabetes mellitus (retinopathy, nephropathy, polyneuropathy), the treatment of diabetes mellitus in children and pregnant women, and the preparation of patients with diabetes mellitus for surgery. Key Words: transplantation of human and animal fetal tissues; treatment of insulin-dependent diabetes mellitus and diabetic retinopathy, nephropathy, and polyneuropathy; treatment of diabetes mellitus in children and pregnant women; preparation of patients with diabetes mellitus for surgeryThe failure of traditional methods of treatment of insulin-dependent diabetes mellitus (IDDM) called for new, nontraditional methods of treating this severe disease. Since the main cause of IDDM, which usually develops during childhood or youth (before the age of 35), is the total or near-total death of 13-cells of the pancreatic islets, the possibility of a pancreas transplant was explored. In the middle of the sixties, major advances occurred in transplantology and immunology, successful transplantation of the pancreas became a reality. To date, over 4000 clinical pancreas transplants have been performed all over the world [74]. Since transplantation of the pancreas is not a life-saving operation and the risk of adverse side effects and complications from the surgery per se, resulting from adjunct immunosuppressive treatment, is rather high, a transplant of the pancreas alone can hardly be justified in patients with IDDM. Such an operation is usually performed International Institute of Biological Medicine, Moscow at the terminal stage of diabetic nephropathy, when a kidney transplant is required to save the patient's life. According to data of the leading centers of transplantation, successful transplantation of the pancreas performed simultaneously with kidney grafting provides for stable normaliTation of glycemia and for the abolishment of insulin dependence during the first year postoperation in almost 70% of patients with IDDM, the one-year survival attaining 90% [75]. On the other hand, no marked positive effect of transplantation of the pancreas has been noted with respect to the course of diabetic angiopathies [80], although, admittedly, these angiopathies had been severe at the time of transplantation. This operation, which is costly and not without risk for the patient with IDDM, is inadvisable at the earlier stages of diabetic complications. Furthermore, transplantation of the pancreas is severely limited owing to the lack of aUogeneic donor organs.Recently, the surgical techniques of pancreas grafting have virtually reached the limit of their