We talk a lot about innovation development in our country, and it is well known that innovations come to life better in small and medium businesses. Easily manageable and being able to adjust quickly, they have all the opportunities to develop high-tech innovations and bring them to the consumer. But is it easy today to be an innovation company? The writer, being president of the company, which manufactures high-tech medical equipment, knows the situation from the inside and suggests specific measures for improving the investment climate in Russia.