Objectives: Primary spontaneous pneumothorax is a public health problem because of its frequency and its occurrence in a population often young. It is a pathology which natural evolution is marked by the occurrence of recurrence. The purpose of the surgical treatment of PSP is to resect the apical bulla and bleb areas. In addition, various pleural adhesion procedures are recommended to prevent recurrence. Methods: Between 2015 and July 2021, the results of 289 operations performed patients with PSP were examined. The variables analyzed were age, sexe, risk factor, morbidity and mortality surgical results. The average patient follow-up rate is 26 months. Results: Recurrent PSP largely dominated the surgical indications with a rate of 73.8%. Complications were seen at a rate of 5.1%. These complications required revision surgery in 3 cases. The recurrence rate is around 1.7%. However, the residual postoperative pain is around 10.7%. The average length of stay is around 6.8 ±1.2. The mortality rate was nil. Conclusion: Surgery for primary spontaneous pneumothorax has shown encouraging results, during which it must be performed as soon as possible once the indication for surgery has been established.