The urgent surgery center “Simonida” in Gra~anica was built by humanitarian organization “Doctors of the World” from Greece with donation of Ministry of Foreign affairs of Greece and Greek institute for mother and child. He started working in march 2000. Even though, it has a small capacity of 15 beds, it represent a very important part in health care for the people Serbian enclaves in Kosovo and Metohia. During 2002. 15133 patients were examined in this hospitaly. 811 patient were hospitalized, and 98 of them were operated. Serbian doctors performed the firs surgery 11.07.2002. when the patient S.S. 46 years old was operated due to inguinal hernia on left side. In the urgent surgery center 72 (73,47%) male patients and 26 (26,53%) female patients. Were operated 64 (65,31%) adults patients and 34 (34,69%) children were operated. In this hospital 46 patients for inguinal hernia, 14 patients for acuta appendicitis, 8 for inflammation of gall, 4 for testis retency, 4 for pilonoidal sinus, 3 for higrom, and 22 patients with other diseased were operated. Total anestesy used with 68 (69,63%), spinalis with 22 (22,45%) and local with 8 (8,16%) patients. Total anestesy was used with 36 adulta patients and with 32 children patients. Considering the restricted freedom of moveing and bad security situation of people in enclaves, the urgent surgery center “Simonida” justify its egzistence making possible adequate surgery help to the suftering peoples of Central Kosovo, Sirini} region and region Kosovsko Pomoravlje.