In a multidisciplinary regional hospital, a citizen born in 1948 was urgently hospitalized in the surgery department No. 2 with a diagnosis of obstructive jaundice, severe. The patient underwent surgery in 2 stages. The first stage is to drain the common bile duct through the liver. The second operation is antegrade stenting of the common bile duct. The operation was carried out by Deputy Director for Surgical Work E. Serikuly, Assistant Head of the Surgical Department A. Zhalmaganbetov. During the operation, the patient was diagnosed with a tumor on the head of the pancreas, and the hospital performed 1 operation for antegrade stenting of the common bile duct. There is a tumor in the upper part of the pancreas, from where bile enters the intestines through the bile ducts. Due to the tumor, the lower part of the bile duct is compressed. Therefore, bile does not enter the intestines. Operation was successfully completed. Three days later, a control fistulography was performed, the contrast was transferred to the duodenum, the stent was fully functioning.