This article provides a comprehensive analysis of current trends and strategic vectors in the development of legal regulation of medical activities in the Russian Federation. The author proceeds from the thesis that medical law is undergoing a stage of profound transformation caused by the technological revolution, changing socio-economic conditions and the evolution of citizens' legal awareness. The work consistently explores three main areas of development: digitalization and adaptation of law to new medical technologies (telemedicine, artificial intelligence, big data, e-health); strengthening guarantees of patients' rights and bioethical principles (informed voluntary consent, medical secrecy, palliative care); as well as internal systematization and specialization of medical legislation. Based on the analysis of the current state of legislation, law enforcement practice and scientific doctrine, a conclusion is drawn about the formation of medical law as a dynamic and complex industry characterized by the processes of technologization, humanization and harmonization with international standards. The article is intended for lawyers, practicing doctors, heads of medical organizations, legislators and anyone interested in the problems of law in the field of healthcare.