Background Tuberculosis is one of the top rnten causes of mortality in the world. It isrnmore concerning for African countries asrnmost of the young productive age group isrnthe target of the disease. In the older daysrnsurgery was the main mode of managementrnfor pulmonary tuberculosis. Since therninvention of anti-tuberculosis chemotherapyrnthe role of surgery has reduced. But due tornthe emergence of drug resistant TB and postrnTB complications, surgical management isrngrowing again. The current indications ofrnsurgery for pulmonary tuberculosis are postrnTB squelae and drug resistant Tuberculosis.rnThe commonest post TB complicationsrndemanding surgery are Empyema,rnhemoptysis, destroyed lung, bronchiectasis,rnfistulas, and tuberculoma. After all medicalrnevolutions, surgical management of TB isrnstill one of the challenges for thoracicrnsurgeons. Here we will see the trends ofrnsurgical interventions and outcome in termsrnof post-operative complication in ourrnhospitals. rnMethods â€“ It is a retrospective crossrnsectional case study done in Ethiopia, AddisrnAbaba University, college of health science,rnSchool of Medicine Tikur Anbessa Hospital,rnDepartment of surgery, cardiothoracic andrnvascular surgery unit on patients whornunderwent surgery for pathologiesrnsecondary to pulmonary Tuberculosis fromrnJanuary1, 2015-December31, 2019. rnResult â€“ 88 patients were participants of thernstudy. There were 59 men and 29 women.rnMean age is 33.5, Maximum 65 years and rn Minimum 16 years with the range of 21-45.rnMore than 90% of the patients hadrnproductive cough and 53.4% hadrnhemoptysis. Eight patients had history ofrncomorbidity. Only two patients werernsmokers. All patients had chest X-ray andrn97.7% had CT scan of the chest. Out of thern88 patients 56 of them had pathology on thernleft side. 13.4% of patients had anemia uprnon presentation. Albumin level wasrnmeasured in 43.1% of the patients. Out ofrnthese patients 73.6% had normal albuminrnlevel, 13.1% had mild hypoalbuminemiarn10.5% moderate hypoalbuminemia, andrn2.5% had severe hypoalbuminemia. Onlyrn20% of the patients were screened for HIVrninfection. The mean operation time was-186rnmin/ (minimum 40 min, Maximum 440min).rnMean total Hospital Stay was 27 daysrn(minimum 7days, Maximum 86 days). Forrn57% of the patients Post op hospital stayrnwas 14rndays. The most common indication forrnsurgery was empyema followed byrnAspergilloma. The most common procedurernperformed is decortication followed byrnpneumenectomy and wedge resection. Wernobserved a complication rate of 20% withrnmortality rate of 1.1%. The most commonrncomplication detected was atelectasisrnfollowed by BPF and pneumonia. rnConclusion- In general Outcome of surgicalrnmanagement for pulmonary tuberculosis isrngood with relatively low morbidity andrnmortality. We recommend offering patientsrnsurgery on the appropriate time whenrnhaving proper indication.