Abstract: Objective To explore the indication and procedures of surgical in treatment of pulmonary tuberculosis hemoptysis.Methods Retrospective analysis of clinical data was performed in 42 cases of pulmonary tuberculosis hemoptysis admitted in the Thoracic Surgery Department of our hospital from October 2008 to October 2012.Results Of 42 cases, underwent lobectomy in 30 cases, pneumonectomy in one case, pulmonary wedge resection in 11 cases. There were 5 cases of relapse,one reoperation due to postoperative pleural hemorrhage, postoperative atelectasis and pleural effusion in 4 cases, wound infection in 2 cases and bronchopleural fistula in 2 cases. The surgical complication rate was 21.4% (9/42) and the clinical cure rate was 88.1% (37/42).Conclusion Surgical procedures is more effective means for patients with hemoptysis of pulmonary tuberculosis and long-term repeated small or in the amount of hemoptysis in comprehensive treatment measures.The optimal surgical procedure is elective surgery lobectomy.