Objective — evaluate of the results of surgical treatment of patients with solitary fibrosis tumor pleura (SFTP). Material and methods. The experience of treatment of 30 patients with SFTP who were undergoing treatment at the N.N. Blokhin National Medical Research Center of Oncology in the period from 2000 to 2015. Benign tumors were detected in 16 (53.3%) patients, malignant tumors — in 14 (46.7%). For primary SFPP, surgical interventions were performed on 26 patients. Of these, 15 (57.7%) patients were operated on with open access, 11 (42.3%) — with the use of endoscopic technique. Two patients were operated on because of a relapse of malignant SFP, which occurred 36 and 60 months after the primary interventions performed in other health facilities. Postoperative complications developed in 4 (14%) of 28 patients. Also 2 patients with continued growth of the tumor, who had previously undergone nonradical surgery in other medical institutions, performed symptomatic operations on vital signs due to the expressed manifestations of compression syndrome. Results. The total 5- and 10-year survival rate of patients with benign SFTP was 100%. In patients with malignant SFTP, the 5-year survival rate was 91.7%. One patient died from a local relapse 10 months after removal of a massive tumor larger than 24 cm. One patient operated on a relapse of malignant SFTP has a relapse after 48 months. Conclusion. SFTP’s propensity for local relapse necessitates a thoughtful approach to the choice of surgery volume and access depending on the nature of tumor growth, localization and size, as well as relationships with surrounding structures. Thoracoscopic access can reduce the trauma of the operation and speed up the rehabilitation of patients.