This book constitutes the refereed proceedings of the Second VLDB 2005 International Workshop on Secure Data Management, SDM 2005, held in Trondheim, Norway in August/September 2005 in conjunction with VLDB 2005.

The 16 revised full papers presented were carefully reviewed and selected from 38 submissions. The papers are organized in topical sections on encrypted data access, access control, information disclosure control in databases, privacy and security support for distributed applications, and with a special focus on security and privacy in healthcare.