The construction of the Federal Centre for Traumatology, Orthopedic Surgery and Endoprosthetic Replacement in Smolensk began in 2008. By August 2008, the Smolensk Region had fulfilled commitments on the construction of the facility's foundation, with the site prepared for placing block units imported from Germany. The initial plans called for the assembly to begin – however, due to issues with assembling unit delivery, construction was halted and resumed only in 2011. In May 2011, work began to assemble block units, namely operating suites, intensive care units, wards and other premises in the facility.

The project is worth 2.5 billion roubles in total, with some 600 million roubles having been spent so far. The federal centre's specialists will perform over 1,500 surgical operations per year. The centre will comprise three departments for adult patients, each having 50 beds, and a 15-bed department for children.

At this point, the four-storey central building, the centre's core facility, has been completed. The building will house an outpatient department, an operating suite, an intensive care unit, an X-ray department, a clinical and diagnostic laboratory and functional diagnostics rooms.

Hospital units are high-tech modules equipped with the necessary utility lines and soundproof partitions. The building complies with high safety standards and greatly surpasses single structure facilities in terms of the requirements for organising medical treatment.

The work has been done to assemble units in the centre's main building, with engineering installations currently being connected. The most time-consuming and important stage of delivering and installing medical equipment is planned for September, along with the delivery, acceptance and customs registration of the remaining units for the centre's building 2, which will have an in-patient department for adults and children, with 150 and 15 beds correspondingly, the administration unit and a conference room.

The centre will employ 585 people serving patients in the Smolensk Region and five other neighbouring areas.