The aim is to study the attitude of medical college students to the issues of tobacco smoking. 100 students (11 boys, 89 girls) of senior courses of Cheboksary Medical College were anonymously surveyed using the questionnaire developed by Tamaki et al., consisting of 20 questions on various aspects of tobacco smoking. Mathematical and statistical processing was carried out with the help of descriptive statistics and 2-distribution (table 2×2). 37% of college students smoked at least once, young men did it more often than girls. At the time of the survey, 17% smoked periodically. 43% were exposed to passive smoking, significantly more frequent these were men; 20% of respondents faced it every day, on average – 2.1±2.8 days a week. Staying in public places with smoke from cigarettes was marked by 25%, bars, discos – by 20%, places of residence – by 10%, others – by 11%. Young men were more exposed to secondhand smoking in public places and bars, discos than girls. Most commonly (78%) unfamiliar people smoked in the presence of students; as for smoking students their fathers smoked more often. 77% agreed that medical students shouldn't smoke, 5% didn't consider it a problem, 18% thought that they could smoke if they wanted. 90% were against smoking in society, 90% were against smoking among patients (10% didn't object), 71% were against smoking among medical professionals – (29% did not object). 96% agreed with the statement that health workers should be an example of healthy lifestyle for the population agreed and 87% agreed that their freedom from tobacco smoking can have a positive influence on patients. 98% of students received information about the harm of smoking during their studies. 97% believed they could give comprehensive advice to smoking people. Comparing the responses of medical college students and prospective physicians showed a similarity of opinions on most of the questions asked. Smoking among medical students is largely due to the close environment of smoking people from among relatives and friends. They are more often subjected to secondhand smoke at home (residence). These students are more tolerant of other people's smoking, including patients and health workers, which reduces the effectiveness of anti-smoking interventions.