Tuberculosis is still a worldwide disease. Medical treatment is essential but surgery still has a role in the diagnosis and treatment of several various thoracic tuberculous lesions (both pulmonary and extra-pulmonary). We aim to present and analyzethe results of surgical treatment of thoracic tuberculous cases in Al-Assad University Hospital in Damascus. Also, we purpose to determine the indications of thoracoscopic and traditional surgical interventions in this field, and studying their complications.