РусQuaternary tectonic pattern of the Middle Dnieper region is interpreted on the basis of integrated analysis of the Quaternary deposit base hypsometrical map and the map of their thickness. It comprises the following major structures: inherited swell-like uplifts of the Ukrainian Shield and Voronezh Anteclise, recent Middle Dnieper Trough, transitional zones between them, as well as local structures forming relatively independent network. In Quaternary time this territory developed against the background of pulsating neotectonic elevations, that showed themselves in various evidences.