The urgent surgical intervention need great atention in pregnant patients because of vital indication all surgical procedure interffer with pregnancy togheter with general anaesthesia and could cause complication of pregnancy and some times a damage of the foetus. Our study include all surgical procedure as the acute abdomen, trauma and politrauma in pregnant patient. Our aime was to give general anaesthesia which should be safe for mother and foetus.Post-operaative therapy and treatment of patients was done by theam of anaesthesia and gynecologists. The anaesthesia monitoring and surgical procedure have been improved up to the presset day but there are steel present great ricks in a treatment of this type of patients.The criteri in surgical and conservative treatment of pregnant patients was determined in colsultacion anaestetist-gynecologists.

Although nowadays is importance of surgery as primary method of gestational trophoblast disease treatment smaller than earlier,appliance of the surgical procedure is still valuable addition to the modern therapy of these diseases. We present a patient with mola hydatidosa where hysterectomy had been done as operative way of this disease treatment.