In the article we analyze the 15 year experience (2002—2017) of 197 patients with congenital diaphragmatic hernia (CDH) treatment in three children’s hospitals located in Siberian Federal District. Material and methods. Patients were distributed in two groups: group 1 — 90 patients who has got surgical repair of CDH through thoracoscopic approach; group 2 — 107 patients who has got surgical repair of CDH through thoracotomy or laparotomy. The surgical repair procedure of CDH and the recommendation of postoperative maintaining such patients proceeding and controlled by observers from (Ivano-Matreninsky children’s clinical hospital Irkutsk (expert hospital — EG) are applied to patients. Results. The compared groups were similar in terms of demographics parameters. There was significant difference in mean operative time between open and thoracoscopic procedure (64.18 min vs 73.92 min; p<0.05). Duration of care in neonatal intensive unit and length of hospital stay were significantly shorter in the Group 1 (8.82 vs 12.5 days; 19.27 vs 26.46 days; p<0.05). Synthetic patches for repair were used in 21 (23.33%) patients of group 1 and in 14 (13.08%) patients of group 2. Diaphragmatic hernia recurrences were found in 10 (11.11%) patients of group 1 and in 20 (18.69%) patients of group 2. Chylotorax in our research was found in 23 (25.56%) patients of endosurgery group and in 24 (22.42%) patients of open repair group. The lethal outcomes in group 1 were lower than in group 2 (8.89% vs 17.76%). The Nissen fundoplication was performed at 14 (15.56%) babies of group 1 (thoracoscopy) and 10 (9.35%) patients of group 2 (open treatment). Conclusion. Thoracoscopic reconstruction of congenital diaphragmatic hernia can be safely performed by experienced endoscopic surgeons from different centers united by one ideology of performing endosurgical operations.