2016, the patient received an additional consultation from a cardiologist and was recommended for surgical treatment. It is noteworthy that by the time of the visit of the Special Preventive Group on 23 February 2017, the convict still had not undergone the above surgery.  On 23 June 2015, prisoner D.T. received the consultation of a surgeon who diagnosed the prisoner with postoperative ventral hernia. The medical note was written by the doctor on the same day and sent to the Medical Department for confirmation on 24 July 2015. In its turn, the Medical Department confirmed the request on 26 October 2015. By the time of the visit of the Special Preventive Group on 23 February 2017, the convict still had not undergone the above surgery.  On 3 September 2015, prisoner Z.P. received consultation with a surgeon who diagnosed him with chronic appendicitis. The medical note was written on 7 September 2015 and sent to the Medical Department for confirmation on 14 September 2016. In its turn, the Medical Department confirmed the request on 14 December 2015. By the time of the visit of the Special Preventive Group on 23 February 2017, the convict still had not undergone the above surgery.  On 29 November 2015, prisoner G.B. received consultation with a surgeon who diagnosed him with right sided inguinal hernia. The medical note was written on 30 November 2015 and sent to the Medical Department for approval on 1 December 2015. The Medical Department, in its turn, approved the request on 14 December 2015. By the time of the visit of the Special Preventive Group on 26 January 2017, the convict still had not undergone the above surgery.  On 18 December 2015, prisoner N.Ts. was recommended by a surgeon for umbilical hernia repair surgery. The doctor wrote the medical note and uploaded it in the system the same day. The Medical Department approved the request on 19 April 2016. However, by the time of the visit of the Special Preventive Group on 23 February 2017 the convict still had not undergone the above surgery.  On 16 May 2015, prisoner M.S. received an angiologist’s consultation and was recommended for duplex scan-phlebectomy. The doctor wrote the medical note on 18 May 2015 and uploaded it in the system on 19 May 2015. The Medical Department confirmed the incident on 17 December 2015. However, by the time of the visit of the Special Preventive Group on 26 January 2017, the convict still had not undergone the above surgery. In the Parliamentary Reports of 2014 and 2015, the Public Defender recommended to the Minister of Corrections of Georgia to ensure that the decisions about administration of referrals were only taken by the Head of the Medical Department of the Ministry of Corrections after consultation with the director of a respective penitentiary establishment concerning security issues related to the prisoner’s transfer. The Public Defender recommended abolishment of the rule whereby the provision of medical service depends on the will of the director of a penitentiary establishment and the director of the Penitentiary Department. The Ministry of Corrections of Georgia unfortunately failed to fulfil the aforementioned recommendation. 140 HUMAN RIGHTS SITUATION IN CLOSED INSTITUTIONS