Alexander Smirnov is the Head of Endoscopy and Urgent Care Department of the University Hospital named after Pavlov (St. Petersburg), which is well-known not only in post-Soviet countries, but also in European and American clinics. Dr. Smirnov is known for his unique endoscopic surgeries, his method is widely used in leading clinics and he has a major contribution to the spread and development of endoscopic surgeries. It is not the first time that Armenian colleagues have the opportunity to discuss professional complex cases with him. In Erebouni MC he met with Armenian specialists, conducted joint consultations, examinations and surgeries. The patients with achalasia, esophagospasm, Zenker's diverticulum were recommended open surgery, which means postoperative long and complex treatment period. Many patients have been waiting for endoscopic surgical procedures for a long time.