1989 – 1993: Hospital of the Clinical and Experimental Neurology, neurologist, MD
1993– 1995: Private business
1995 – 1996: Governor of Tbilisi Vake District
April 1995 – October 1995: Tbilisi Municipality, first deputy chairman of the Department of Social Affairs
1996–1998: Tbilisi Municipality, vice-mayor
October 1998 - November 1999: member of Tbilisi City Council, chairman of the majority faction
November 1999 – February 2000: MP, V
Parliament of Georgia, chairman of the Committee on Regional Policy and Self-Governance
February 2000 – January 2004: deputy chairman of the Parliament of Georgia
November 2003 – January 2004: acting chairman of the Parliament of Georgia
February 2004- 2005: Minister of Labor, Health and Social Protection of Georgia - Deputy prime minister
2004 - 2008: MP, VI Parliament of Georgia, Member of Parliament of Georgia (Mtatsminda N1 constituency), Parliament of Georgia Committee on Healthcare and Social Issues - chairman
2008 - 2012: MP, VII Parliament of Georgia, deputy chairman
2009 - 2011: European Parliamentary Forum on Population and Development - vice-president
2011 - 2013: European Parliamentary Forum on Population and Development- president
2012 to present: Vice-president, OSCE Parliamentary Assembly
2012-to present: MP, VIII Parliament of Georgia. Vice-chairman, Committee on Healthcare and Social Affairs. Foreign Affairs Committee member