Intestinal tuberculosis is a systemic tuberculosis, and treatment is mainly internal anti-tuberculosis, unless it is an emergency. In principle, enteroscopic and surgical treatment is first standardized anti-tuberculosis treatment and nutritional support therapy before considering surgery. The indications for surgery for intestinal tuberculosis are as follows: 1. perforation: if the tuberculous lesion is perforated, acute peritonitis or limited abdominal abscess or intestinal fistula, timely surgery is required; 2. intestinal obstruction: if the patient has incomplete intestinal obstruction that cannot be relieved for a long time, surgery is recommended; 3. intestinal bleeding: if the patient has uncontrollable intestinal bleeding, and after internal antituberculosis treatment If intestinal adhesions and fixed-site abdominal pain occur repeatedly, timely surgical treatment is required; 4. Tumor: If tumor cannot be excluded from the abdominal lesion, surgical exploration is recommended. The main surgical procedures for intestinal tuberculosis are resection of intestinal segments, ileal resection and right hemicolectomy. Depending on the patient’s condition, intestinal anastomosis can be performed after intestinal resection, or proximal ileo-abdominal wall fistula can be performed first, and then intestinal retraction and intestinal anastomosis can be considered 3-6 months after surgery, after the patient’s condition and TB lesions and nutritional status are stabilized. For the surgical treatment of intestinal tuberculosis, timely surgical exploration is the key to treatment, and effective and standardized anti-tuberculosis treatment must be given before surgery. Patients with intestinal tuberculosis should continue anti-tuberculosis treatment after surgery, and the total course of treatment is about 1 year. If surgical exploration can be performed in time, the prognosis after surgery is more satisfactory.