1, combined with flat chest; 2, pleural film suggests thickened adhesions at the top of the pleura; 3, hemopneumothorax; 4, tension pneumothorax; 5, combined with pulmonary blister; 6, bilateral pneumothorax, especially if it occurs at the same time (VATS surgery can be performed at the same time); 7, pneumothorax on the healthy side after total pneumonectomy on one side; 8, more than 2 episodes; 9, the current pneumothorax episode, while the other side has occurred before. 10.After closed drainage by thoracic intubation, there is still persistent air leakage for more than 72 hours, or the color of pleural fluid gradually becomes cloudy, the blood picture is elevated, and there are signs of chest infection; 11.After conservative treatment, the lung reopens unsatisfactorily; or there are obvious ectopic adhesions of the pleura with limited wrapping; 12.Incomplete lung expansion due to pleural hypertrophy; 13.Bronchopleural fistula with pleural thickening. 14, special occupations such as: sports enthusiasts, physical workers, fishermen, pilots, divers, etc.; 15, all levels and types of students (university, high school, elementary school, postgraduate students, etc.), due to promotion, upgrading, to participate in school sports to meet the standards, physical and mental are in an important period of development. The first attack, should also choose surgery. 16.Female pneumothorax with suspected presence of endometriosis. 17.There is a huge lung cyst on chest x-ray. 18.Pneumothorax secondary to special surgical procedure; 19.Occupational damage; 20.In an environment lacking medical facilities, such as remote mountainous areas.