The ageing process should be considered with respect to all homeostatic systems of the body, their importance for the existence of the organism itself and different timing of their switching-on in the process of age-related changes. An attention should be paid to the literature data on age-related changes in the functional activity of immune system, which starts from almost zero at birth, reaches a maximum at the age of about 40-50 years and significantly decreases during the natural ageing process. The vast majority of most socially significant diseases of modern humans are reasonably associated with this last stage of age-related changes in the functional activity of the immune system. So far, there is probably no consensus on whether ageing is a disease, or not a disease, but just a kind of natural wear of the “biological machine”. In any case, one should emphasize that thymic gland is one of the first organs where negative age-related changes are revealed, one of the two central organs of the immune system. Bone marrow is the second central immune organ. Age-related changes in the thymus are not “all or nothing”, “now or never”, they are normally characterized by a gradual decrease of the cell production and changes in their qualitative characteristics, which undoubtedly result into some negative effects upon the indices of immune system activity. There is a need to develop new approaches towards the assessment of functional parameters of the thymus, highlighting the search for therapeutic approaches that would maintain functional activity of the immune system at a high level.