Late fate of treatment of 75 patients with severe traumatic brain injury who had decompressive craniectomy during acute phase of the injury, were analyzed. A mortality rate within 6 months following the surgery made up 49.3%. Positive treatment result was obtained in 38.7% of patients. Average life quality value among the surviving patients made 73% of normal level. When determining indications for surgery, an intracranial pressure value, as measured invasively, must be taken into account.