Surgical procedures for chronic obstructive pulmonary disease include pneumonectomy and lung reduction surgery, while patients with end-stage chronic obstructive pulmonary disease may undergo lung transplantation. Lung surgery tolerance usually refers to the ability of patients with chronic obstructive pulmonary disease to tolerate lung reduction surgery, which should be performed under the guidance of a specialized doctor. For patients with advanced chronic obstructive pulmonary disease (COPD) or those who still have obvious dyspnea even after medication, lung decongestive surgery can be performed if conditions permit, and the patient’s physical condition should be taken into account to determine whether he or she is able to undergo the surgery before the operation. Patients who are tolerant enough to undergo surgery can be relieved by lung decongestion, thus improving the symptoms of dyspnea in patients with chronic obstructive pulmonary disease.