According to the data, about 3-5% of tuberculosis patients have pulmonary tuberculosis and 80% of extrapulmonary tuberculosis still need surgery, early symptoms, signs and imaging of extrapulmonary tuberculosis are not typical, many patients do not have obvious symptoms of tuberculosis poisoning, easy to delay the diagnosis, can not be treated in a timely manner, when the lesion site has been obviously destroyed to form abscesses or have functional impairment, need to be in It is necessary to actively anti-tuberculosis treatment in internal medicine and timely surgical intervention to remove tuberculosis lesions in order to improve the effect of anti-tuberculosis drugs to cure completely and restore the function, to avoid the residual lesions to become refractory tuberculosis in the future, and to shorten the time of chemotherapy, especially if multi-drug resistant tuberculosis has been diagnosed, such as the indications for surgery should be operated as early as possible. At present, the treatment of tuberculosis still adopts a comprehensive treatment plan that combines mainly medical chemotherapy and timely surgical intervention. In recent years, the Department of Tuberculosis Medicine and the Department of Tuberculosis Surgery of our hospital have collaborated to carry out various types of tuberculosis surgeries, such as lymph node tuberculosis lesion removal, bone and joint tuberculosis lesion removal, tuberculous abscess chest fiber plate removal, destruction pneumonectomy, etc., which have achieved satisfactory clinical results. Second, the purpose of tuberculosis surgery: to relieve the symptoms of intoxication to improve the effect of anti-tuberculosis drug therapy to stop or reduce the occurrence of functional disorders to shorten the course of anti-tuberculosis drugs to completely remove the tuberculosis lesions to create conditions for the second phase of functional reconstruction. Timing of surgery for tuberculosis: 2-3 weeks of effective anti-tuberculosis treatment before surgery, and less invasive surgery such as removal of body surface tuberculosis lesions. 4-8 weeks of preoperative effective anti-tuberculosis treatment or after intensive anti-tuberculosis treatment, bone and joint tuberculosis and visceral tuberculosis, etc. Clinical TB toxicity symptoms are relieved or significantly reduced, and blood sedimentation continues to decrease. Significant improvement in nutritional status and diet. Emergency surgery, life-threatening condition, preoperative intensive anti-tuberculosis treatment with second-line drugs For patients with existing dysfunction, surgery should be performed within a certain period of time; otherwise, it is bound to aggravate the dysfunction or make it difficult to recover from it. For multidrug-resistant tuberculosis, surgery should be performed as soon as possible if there are indications for surgery.