Gastric perforation surgery does not cause tuberculosis infection under proper asepsis. However, it can cause infection if there is growth of tubercle bacilli in the surgical operating space or if it comes into contact with broken skin. Gastric perforation surgery itself is primarily done by opening the abdominal cavity to close the perforated area. With proper asepsis, there should be no growth of Mycobacterium tuberculosis in any of the environments, instruments, etc., that are touched during the procedure, so gastric perforation surgery itself will not cause tuberculosis infection or other infectious diseases. The transmission of tuberculosis infection is mainly through respiratory tract, bloodstream or broken skin contact. Therefore, if the surgical room is not sterilized properly, and the patient inhales Mycobacterium tuberculosis during surgery or the surgical wound comes into contact with related organisms, he or she may develop tuberculosis infection after the surgery, but it is not directly related to the gastric perforation itself. Currently, surgical asepsis is better, so there is basically no chance of tuberculosis or other infectious disease infection during gastric perforation surgery, but one can also be tested for related infectious diseases after surgery.