Objective — to reveal smoking causes and prevalence among the employees of Kaliningrad healthcare facilities. Questionnaires were used to include 428 employees from seven healthcare facilities of the city, such as physicians, mid-level and junior medical staff, managerial staff, medical receptionists, accountants, drivers, operators, teachers/psychologists, and watchmen, into a cross-sectional epidemiological survey. Groups of persons who had previously tried smoking (60%), including current smokers (31%), never-smokers (40%), were identified among the respondents. The causes of the first smoking experience were curiosity (42% of men and 60% of women); an example of the friend who had started smoking (38% of men and 13% of women); and the influence of fashion (13% of men and 13% of women). The predominant age of smoking initiation was 16—20 years among men (56%) and 17 years and older among women (55%). Among those who had previously tried smoking, there were current smokers (50% of men and 25% of women), while the proportion of smoking women was 14% in non-medical professions, 18% in physicians, 25% in managerial staff, 27% in mid-level medical staff, 29% in junior medical staff, and 50% in medical receptionists; that of male smokers were 33% among managerial staff, 33% in mid-level medical staff, 48% in physicians, 63% in junior medical staff, and 68% in non-medical professionals. Thus, the problem of smoking among the employees of healthcare facilities remains relevant, which in turn reduces the effectiveness of tobacco control among the population.