Background: The article provides an overview of current trends in refractive laser correction of myopia. Development of refractive laser correction is on the way to improve procedures for the production of thinner flaps. However, it is known that the formation of excessively thin flap can cause flap torn, buttonhole, while a thicker flap can significantly change the tectonic stability of the corneal thickness and also the predictability of thickness of the formed flap is important. Priority directions of refractive laser eye surgery are: identifying patients at risk for the possible development of corneal ectasia, holding correction with maximum preservation of corneal tissue, forming the widest zone of ablation, the optimal correction of refractive errors, and their predictability of clinical stability. Conclusion: Summarizing the analytical review of modern methods of correction of myopia and astigmatism it should be noted that the technique with a thin flap Laser-Assisted in Situ Keratomileusis preserves natural balance of anatomical structures of the cornea, significantly reduces postoperative recovery period, reduces the incidence of complications, in some cases, provides an opportunity to reoperation in case of regression of refractive effect, thereby opening up new opportunities for the correction of myopia and astigmatism.