The article is devoted to the organization of work of the consultant polyclinic of the Sakhalin regional hospital. At scheduled capacity of 270 visits the polyclinic annually provides more than 70 thousand visits to the inhabitants of the Sakhalin area. The polyclinic has a sanatorium on 28 beds. Consultations are provided on 26 specialties. Eight rooms are the part of the specialized centers created on the basis of hospital that allows to solve the schedule questions, improves the continuity between the polyclinic and the hospital. In a final part of the article the ways of improvement of material base, increase of availability and quality of specialized medical help in the region are shown.