Aim. The objective of the present study was the retrospective analysis of the differentiated approach to the choice of the anesthetic procedures for the provision of the specialized surgical treatment to the patients presenting with fractures of the nasal bones. Patients and methods. The comparative characteristics of various anesthetic methods were elucidated, and the ways to reduce the surgical and anesthetic risk during the surgical intervention were considered. The effectiveness of different anesthetic modalities was evaluated based on the dynamic of the blood cortisol levels in the patients prior to surgery, intraoperatively (i.e. at the moment of the maximum surgical trauma), and after the completion of the surgical operation. Results and discussion. The study has demonstrated that the anesthetic support of the surgical operations for the treatment of the fractures of the bones of the nose should be chosen strictly on an individual basis for each patent. Local anesthesia, including conductor anesthesia can be recommended in many cases. At the same time, the ever increasing number of the victims with fractures of the nasal bones in need of the surgical intervention justifies the use of general anesthesia which requires not only the improvement of the quality of the surgical procedures but also a change in the extent of the surgical care including, in the majority of the cases, simultaneous septoplasty under the endoscopic control of the state of the intranasal structures. The study of the blood cortisol levels was conducted for the assessment of the adequacy of anesthesia, determination of the severity of operational stress and its effect on the patients. It was found that the level of cortisol in the blood of the patients operated under local anesthesia is higher than in those undergoing endotracheal anesthesia. The increase in the level of cortisol becomes statistically significant at the height of the operation and immediately after it. The results of this study give evidence that the higher level of cortisol in the blood of the patients given local anesthesia indicates its more stressful nature. It is also worthy of note that the level of cortisol remains high enough after the operation under local anesthesia while it falls down to a lower level than before surgery after the operation under general. Conclusion. It is concluded that the advantages of local anesthesia used for the treatment of the patients presenting with the fractures of the nasal bones are attributable not only to the improved quality of the anesthetic support but also to the possibility to extend the volume of the provided surgical care including the one-step correction of the affected intranasal structure.