Indications for spontaneous pneumothorax thoracoscopic surgery include: 1, hemopneumothorax; 2, repeated multiple episodes with more than 2 episodes; 3, the current pneumothorax episode, and the other side of the pneumothorax has occurred before; 4, bilateral pneumothorax or tension pneumothorax (bilateral pneumothorax can be life-threatening); 5, huge alveoli, compression of the surrounding normal lung tissue, seriously affecting the cardiopulmonary function; 6, sports enthusiasts, physical workers, frequent Travel or outdoor workers, such as fishermen, pilots, salesmen and other special occupations; 7, after closed drainage of the thoracic intubation, but still continue to leak; or drainage time is too long, the color of the pleural fluid gradually become cloudy, the blood picture is elevated, there are signs of chest infection; 8, all levels, all kinds of students (university, high school, elementary school, graduate students, etc.), due to promotion, promotion, to participate in school sports standards, physical and mental in an important period of development . For the first time, surgery should also be selected; 9, after conservative treatment, unsatisfactory pulmonary reopening, or the presence of obvious pleural ectopic adhesions, limited wrapping; 10, female pneumothorax, suspicious of the presence of endometriosis.