Aim: To improve the results of surgical treatment of patients with ischemic form of diabetic foot syndrome (IF DFS) with stenotic-occlusive lesion (SOL) of the tibial segment arteries by creating an algorithm of diagnostic and treatment tactics. Materials and Methods: An analysis of the surgical treatment outcomes of 137 patients with type 2 diabetes mellitus (DM2) and IF DFS with SOL of the tibial segment arteries, critical limb ischemia, and ischemic foot necrosis was conducted. Results: According to the obtained indicators of the popliteal artery debit after performing balloon angioplasty (BAP) of the tibial segment arteries, the patients were divided into three groups. All patients, depending on the degree of increase in the popliteal artery debit after BAP (group A – <1,5 times; 1,5-2 times; >2 times), transcutaneous oxygen pressure (TcPO2) and the option of revascularization according to the angiosomal concept, were assigned a certain number of points and compared with the quality and timing of wound healing in the groups. It is considered that the calculation of quantitative changes in the popliteal artery debit after performing BAP accurately determines the prospects for healing of foot wounds after necrotectomy in patients with IF DFS and can be a criterion for formulating further treatment tactics. Conclusions: Measuring TcPO2 and determining the revascularization option based on the results of BAP allow the DM2 patients in groups A, B, and C to be assigned the appropriate number of points, the sum of which shows the prognosis for healing of foot wounds and the timing of using other methods of revascularization or performing amputation.