This article analyses different types of adaptation of borrowed words in modern Macedonian. The process of borrowing in modern Macedonian is characte­rized not only by the increased amount of foreign words, but their involvement into the Macedonian grammar system, as well as phonetic, lexico-semantic and word-formation connections of the language. In modern Macedonian the main source of borrowing is English along with its American variant. The presence of different types of borrowings allows telling about various degrees of their adaptation and the depth of the analyzed reality. The results of this analysis are applied to solving the problems of functioning terminology in modern Macedonian, in translation and interpretation practice in particular.