The article is devoted to the analysis of one category of bone products discovered during archaeological research at settlement complexes of the XII–XIV centuries of the Tobol and Irtysh Rivers Basin (Western Siberia, Trans-Urals). The artifacts are small bone cases with a hole for hanging, inside of them there was one bone tool with a sharpened working edge, analogies of which are found on medieval sites of the Permian Gis-Urals, attributed by researchers as needles / punctures located in needle cases. However, the morphological and structural characteristics of these artifacts, in our opinion, do not correspond to the functions attributed to them. The purpose of the study is to introduce into scientific circulation and attribution of the actual purpose of paired bone products found on medieval sites of the Tobolo–Irtysh region. Based on the purpose of the study, the following tasks were put forward: morphological description of products; search for analogies to objects on archaeological sites of adjacent territories; acquaintance with the history of the study of similar artifacts. To solve the tasks set in the work, traditional research methods are used for historical science: comparative-historical, comparative-typological, formal-stylistic, the method of analogies. The morphological analysis of the finds both from the Tobol-Irtysh region and from the sites of the Gis-Urals, coupled with the analysis of a complex of items for the care of appearance originating from the territory of Eurasia, made it possible to revise the point of view widespread in scientific circles on the functional purpose of the so-called bone "needle cases" from tubular bones of small animals and "needles / punctures" that were inside. In the course of the study, the items found in the cultural layer of the settlement sites of the Tobol-Irtysh region were classified as items for caring for the appearance - toothpicks placed in a case.