The quality of life was subjected to evaluation in two groups of patients after total gastrectomy depending on the method of alimentary tract reconstruction within at least nine months after the operation. One group included patients in whom the alimentary tract reconstruction was performed without creation of a reservoir according to Roux-Y (n = 10). The second group consisted of patients in whom a reservoir was created from the small intestine (jejunal pouch) according to Hunt-Lawrence-Rodino in Herfarth modification (n = 13). In both groups no statistically significant differences were found with respect to sex, age and time after the operation. The symptoms, body weight gain, amount of consumed food and the level of certain substances in blood were analysed. A higher quality of life was found in patients in whom in place of removed stomach, jejunal pouch was created.