The organization and delivery of smoking cessation support and tobacco depandance treatment in health care, are part of the state tobacco control policy and are regulated by the Federal Law «On Public Health Protection from Exposure to Environmental Tobacco Smoke and Consequences of Tobacco Consumption» under No. 15-FZ dated February 23, 2013. Objective — to determine the demand for smoking cessation support among the smoking population of Russia and the level of its implementation. Material and methods. The results of the Russian Tobacco Control Policy Evaluation Survey are analysed, which is conducted on the basis of multistage territorial random sampling of the population of Russia 18 years and older, stratified by the smoking status. The stratified sample (11 625 respondents) was composed of 6569 current smokers, 2377 former smokers and 2679 never smokers in 10 territorial subjects of the Russian Federation. Standard questionnaire including sections according to articles of the Federal Law N15-FZ was applied. The normative legal acts adopted by public authorities of Russian Federation territorial subjects in the frame of implementation of the State Tobacco control policy and information references submitted by executive authorities of the territorial subjects – participants of the project are also analysed. Results. Among the smokers, the individuals who presented signs of high tobacco dependence were more (56.5%) than those who had no signs of this condition (p<0.001). 81.3% of respondents considered themselves to be addicted to tobacco. In the past 12 months, 41% of the 7203 respondents had tried to quit smoking: only 10.3% of them had turned for a help to healthcare facilities, 18.3% had taken medicines to stop smoking; only 6.4% had used telecommunication technologies to quit smoking. 54.7% of those who had visited physicians were advised in the medical prevention officies/departments (MPO/MPD) and smoking cessation officies. This type of assistance was more often used by men than by women (p<0.001). Of the 437 smokers who had chosen medication, 67% took nicotine replacement therapy, 7.5% received varenicline, and 42.8% used cytisine. Of the 7559 respondents who had visited healthcare insitutions in the last 12 months, 75.6% were asked by healthcare workers about smoking, which was almost twice more often than in 2009 (GATS). 69.6% of the smoking patients received advice to quit smoking; 39.3% of cases were offered smoking cessation support. 29.5% of smokers were referred to different primary health care (PHC) facilities for smoking cessation support; and only 12% have received the latter as counselling, prescription of pharmacotherapy, and pamphlets mainly in the smoking cessation officies and MPR/MPD. Conclusion. Despite the existing demand for smoking cessation and the fact that the majority of the smokers receive smoking cessation advice, smoking cessation support and tobacco dependence treatment in the PHC facilities is poorly implemented. To improve the situation, it is necessary to reconsider certain organizational approaches at the PHC level, first of all, actively include general practitioners in tobacco control measures and smoking cessation support, develop referral mechanisms MPO/MPD and smoking cessation officies.