Aliphatic and aromatic polyesters of hydroxycarboxylic acids are characterized not only by biodegradability, but also by biocompatibility and inertness, which makes them suitable for use in different applications. Polyesters with high enzymatic hydrolysis capacity include poly(lactic acid), poly(ε-caprolactone), poly(butylene succinate) and poly(butylene adipate-co-terephthalate), poly(butylene succinate-co-adipate). At the same time, poly(lactic acid) is the most durable, widespread, and cheap polyester from this series. However, it has a number of drawbacks, such as high brittleness, narrow temperature-viscosity processing range, and limited biodegradability. Three main approaches are known for poly(lactic acid) modification: incorporation of dispersed particles or low molecular weight and oligomeric substances, copolymerization with other polymers, and blending with other polymers. The review includes an analysis of experimental works devoted to developing mixtures based on poly(lactic acid) and other polymers. Regularities in the formation of the structure of such systems and the possibility of controlling the properties of poly(lactic acid) are considered.