The aim of surgical treatment is to mechanically loosen the pressure, eliminate the space occupied by the lesion and relieve the pressure on normal tissues, thus interrupting its vicious cycle. bele type is characterized by recurrent episodes of spontaneous pneumothorax. Some reports suggest that a second pneumothorax may occur 30% of the time after the first and a third 50% or more of the time after the second. Bullae type is characterized by progressive worsening of airway obstruction symptoms and degree of respiratory insufficiency with age and prolongation of the disease course. Patients with this type are older and have poor lung function conditions. A thorough preoperative evaluation is necessary to identify whether the pulmonary dysfunction is caused by the primary disease or secondary to pulmonary alveoli. Geruld suggests that the larger the alveoli, the less extensive the underlying obstructive lesion, the better the improvement after surgery. Preoperative lung function was extremely poor, but postoperative recovery was good. This is related to the patient having a long-term tolerance to hypoxia. The principle of surgery is to preserve normal lung tissue and lung function as much as possible, and to perform lung segmental and lobectomy if the lung tissue is severely destroyed. The surgical approach is VATS (thoracoscopic alveolar resection) with ligation and alveolar resection followed by titanium clip closure. Postoperatively, the patient is mostly off oxygen when awake. If pulmonary function is difficult to maintain, ventilator-assisted ventilation can be used, and tracheotomy can be performed if necessary. Most of these patients are affected by postoperative cardiac function or obstruction by infected pulmonary secretions. In conclusion, early diagnosis and early treatment of pulmonary alveoli, and surgical interruption of the natural course of the disease is the only way to treat pulmonary alveoli.