The issue aimed the comparative analysis of the classical and rarely used retrojugular access to carotid arteries on the example of 151 eversion endarterectomies. Of them, 56 operations were performed with the use of retrojugular and 95 with classical access. The retrojugular access demonstrated reliable benefits considering the postoperative period. The rate of tongue numbness and agility was smaller in the retrojugular group (1.7 vs 12%), as well as round mouth muscle paresis (1.7 vs 10%). There were no cases of dysphagia and hoarseness in the group of retrojugular access.