Summer, the annual examination and graduation season. The midterms, high school exams, and finals, come in piles. There are also graduations and defenses. Some students happen to have pneumothorax at these critical times, so whether a relatively reasonable treatment strategy is adopted is crucial for these students to be able to participate in the exams relatively safely. The choice of treatment strategy is closely related to the time between the pneumothorax attack and the exam. If the pneumothorax attack exam is more than 3 months before the exam, thoracoscopic minimally invasive pneumothorax surgery is recommended so that by the time the exam is taken, the surgery is basically fully recovered and the student can even take the sports exam. Thoracoscopic minimally invasive pneumothorax surgery has the lowest pneumothorax recurrence rate among all treatments, with a recurrence rate of less than 2% within 1 year, which is an important guarantee to be able to safely take the exam. If the pneumothorax attack is about 10 days to 2 weeks before the examination, it is recommended to first contact the school to postpone the examination and defense to buy more time for the treatment. If the pneumothorax is recurrent, please do not hesitate to actively perform minimally invasive thoracoscopic surgery. More than 80% of patients can be discharged from the hospital in 3-4 days after surgery and can take general exams after discharge, but strenuous sports until after 3 months after surgery. If the pneumothorax is incipient, the imaging examination does not suggest obvious pulmonary maculopathy, and the student is unwilling to perform thoracoscopic surgery for a variety of reasons, conditions permitting, closed drainage is performed as soon as possible to allow the lung to reopen as soon as possible. If the lung does not reopen after 3-4 days of closed drainage, it is necessary to actively prepare for minimally invasive thoracoscopic surgery, because if the lung does not reopen satisfactorily after 3-4 days of drainage, it may take a longer time for the lung to repair and reopen, and there is not much time left for surgical recovery at that time. In addition, some students with initial pneumothorax, and the lung compression volume is not very large, in this case, you can consider choosing conservative treatment, usually need to check the chest film for 3 consecutive days to ensure that the pneumothorax is not aggravated. If conditions allow, intermittent low-flow oxygen can be administered. Always pay attention to changes in symptoms and avoid strenuous physical activities. Parents or housemates can buy a simple stethoscope and pay attention to changes in breath sounds. If the pneumothorax attack is within 3-4 days of the exam and conservative treatment is not an option for the student’s condition, then we say that although these exams are critical, they are not a requirement for a happy life. We have also seen candidates take exams with closed drains, which we as doctors do not want to see; we hope that by working together with our patients, they will be able to complete their exams safely. It is worth noting that even though young people tolerate pneumothorax relatively well, pneumothorax is still a life-threatening emergency and the majority of students and parents should not take any chances; good health is still of utmost importance. The above are only some suggestions, and the specific diagnosis and treatment should be made by the doctor according to the specific situation of the patient.