Basal cell carcinoma (BCC) is an urgent problem of dermatooncology due to high incidence rates, wide variety of clinical forms, and frequent recurrence after any treatments. In the Russian Federation, the real incidence of the disease can only be estimated based on skin cancer rates (excluding melanoma) and taking into account the fact that BCC accounts for about 70% of this group. In the last decade, dermatoscopy is an integral part of the diagnostic standard, which enables highly reliable diagnosis of this pathology even at the earliest stages of tumor development. In 2015 —2017, 214 patients aged 38 to 89 years with various forms of BCC (a total of 295 elements) were examined at the Volga Federal Medical Research Center of the Ministry of Health of the Russian Federation: superficial — 103, nodular — 79, pigmented — 48, scleroderma-like — 46, fibroepithelioma of Pincus — 19. Dermatoscopic criteria of BCC were compared to pathomorphological characteristics, which confirmed high sensitivity and specificity of dermatoscopy in the diagnosis of this tumor. Taking into account the described dermatoscopic and morphological correlations, we can state that various types of tumors are characterized by specific dermatoscopic picture. Dermatoscopic variability of BCC is determined by a combination of various factors, such as pathomorphological type, neoplasm location, sex, age, and phototype. Complex analysis of clinical, dermatoscopic, and pathomorphological criteria of BCC enables highly accurate diagnosis, differential diagnosis, and determining the factors of high and low risk of recurrence, which in turn determine the adequate tactics of patient management. This study was aimed at validating the possibility of using dermatoscopy to determine the risk of BCC recurrence followed by the choice of treatment tactics.