Marfina GY, et al. - The value and limits of surgery in patients with advanced tuberculosis (TB) were investigated. The authors concluded that thoracic surgery could significantly improve patients’ outcomes and even result in a cure in a good portion of patients with bilateral cavitary multidrug-resistant (MDR) and extensively drug-resistant (XDR) TB. Even in patients with bilateral cavitary disease and borderline respiratory reserves, thoracic surgery ought to be considered as the essential element of multimodality treatment for MDR and XDR TB.