S.Yu. Logachyov - Executive Director, Association of manufactures of medical products and equipment (Moscow). E-mail: oboronmedprom@bk.ru A.B. Ivanov - Executive Director, LLC «SIE «StellarTech» (Moscow). E-mail: abivanov1@gmail.com M.A. Lapochkin - General Director, LLC «SIE «StellarTech» (Moscow). E-mail: lapochkin.maksim@gmail.com

The article considers acting large, medium and small enterprises of medical industries. Medium enterprises ensure national healthcare being competitive with foreign analogues of medical products. Small establishments are the most responsive to market changes. A favorable market situation predefines the development trend of medium-sized enterprises to their transformation into large, and small - turning in the medium. Also examined the role of large, medium and small enterprises in the maintenance of health system. Described weaknesses of small establishments. Identified public policy requirements, ensuring sustainable development of medium and small enterprises. Among the general requirements is to promote the sustainable development of the market and the simplification of registration procedure of medical products.