Abstract. Computation intelligence paradigms including artificial neural networks, fuzzy systems, evolutionary computing techniques, intelligent agents and so on provide a basis for human like reasoning in medical systems. Approximate reasoning is one of the most effective fuzzy systems. The compositional rule of inference founded on the logical law modus ponens is furnished with a true conclusion, provided that the premises of the rule are true as well. Even though there exist different approaches to an implication, being the crucial part of the rule, we modify the early implication proposed in our practical model concerning a medical application. The approximate reasoning system presented in this work considers evaluation of a risk in the situation when physicians weigh necessity of the operation on a patient. The patient's clinical symptom levels, pathologically heightened, indicate the presence of a disease possible to recover by surgery. We wish to evaluate the extension of the operation danger by involving particularly designed fuzzy sets in the algorithm of approximate reasoning.