The authors discuss and evaluate contemporary possibilities of repair of injured biliary pathways. As a basis they use their own experience of surgical treatment, endoscopic and percutaneous approach. They present groups of 43 patients treated by surgery, 9 treated by the endoscopic and 7 treated by the percutaneous approach. During treatment classical biliodigestive anastomoses were used, nasobiliary drainage, dilatation and stents. From comparison of the different groups and the therapeutic results the authors conclude that modern endoscopic and percutaneous methods are a great asset to the treatment of injured biliary pathways but only in case of their precise indication. Perfect interdisciplinary collaboration is essential.