The results of treatment of acute hematogenous osteomyeLitis (CSO) were analyzed into two groups. For general group (142 children) was used laser osteoperforation with diode lasers with wave length of 0.8, 1.64, 1.9 microns. In the comparison group (93 children) was performed the mechanical osteoperforation by electric drill. The Laser osteoperforation was performed into both walls of the medullary chanal in the affected metaepiphysis and the adjacent part of the bone shaft with the formation of 8 to 20 holes. For ekstramedullar phase additionly was used small incisions for opening purulent streaks. The proposed method let to reduce frequency of complications for children with CSOs up 16.1 % to 7.0 %. The stable remission was observed for 96.3 % of children after usage laser technology, after traditional surgery it was observed in 91.4 %. The transition to the chronic phase of the disease in the general group was marked two times less than after traditional operations. The advantages of the method of Laser osteoperforation are fewer frequency of complications, faster recovery period, good tolerance and good functional results.