Improvement of the results of surgical treatment of gastric carcinoma is multifactorial - from early diagnosis to reduction of perioperative mortality. There have not been any substantial changes in the very tactics and technique of surgery during the last decade. The difference in dissection of lymphatic nodes between Japan and western countries stillpersists which has been paradoxically increased by European randomised studies. The expected consensus in defining the stage of disease with possible better comparison of the results has not been achieved. And thus the difference in survival after resection still remains unclear.