Bacterial ghosts are intact walls of bacterial cells that are relieved of their contents through pores formed by mild biological or chemical methods. Methodology for generating bacterial ghosts increases the safety of killed vaccines while maintaining their antigenicity through milder preparation procedures. Moreover, bacterial ghosts can simultaneously carry several antigens or plasmid DNAs encoding protein epitopes. In recent years, there has been a growing interest in the development of prototype vaccines and systems for delivery of biologically active substances based on bacterial ghosts. This review discusses the progress in the development of this type of medications over the last years. Various methods of obtaining bacterial ghosts, their advantages and limitations are considered. The phage-mediated lysis of bacteria, molecular manipulations with lysis genes, difficulties encountered in scaling the biotechnological production of bacterial ghosts, and ways to overcome them are described in detail. The use of bacterial ghosts as alternative killed vaccines, adjuvants, recombinant antigenic platform, carrier of plasmid DNA by the models of pathogens of particularly dangerous infections of bacterial etiology is investigated.