Background: The standard operation for major bile duct injury and biliary stricture is Roux-en-Y hepaticojejunostomy. But this method is not anatomical and physiological. The ideal interposition for restoring the continuity between the biliary tract and duodenum is a pedicle graft of jejunum reduced in caliber to approximately that of the ductal system. But in case of high stricture it might be difficult. Methods: We present new method of reconstruction extrahepatic bile duct using an isolated intestinal segment of a variable diameter: the proximal part remains of original intestine segment during 3-5 cm (to create hepaticojejunal anastomosis in the hepatic hilum or with separate anastomoses for isolated ducts) and then the diameter is reduced to 1 cm, proportional to the biliary tract. For this the antimesenteric part of the intestinal wall of the distal part of intestinal segment was resected, and the free edges of the intestinal wall were sewn together. The distal anastomosis was formed with the end of the common bile duct or with duodenum. Results: This method was applied in 10 patients with benign biliary strictures. 4 patients were Bismuth III and 6 - Bismuth IV. long-term results were obtained in all patients up to 10 years. There were no recurrence of stricture, cholangitis and normal biochemical parameters were observed. Conclusion: This new technique is reliable and might be recommended as an alternative method for reconstruction extrahepatic bile duct in cause of major bile duct injury and biliary stricture.