**6. Conclusion**

PSP is a common problem encountered by doctors in medical practice. It is a significant global health problem affecting adolescent and young adults mainly. Current guidelines recommend treatment based on the severity of symptoms and the degree of lung collapse according to chest X-ray findings. There is an update needed in the current international guidelines including randomized controlled evidence. The first step in the management is to remove air from pleural space, with subsequent management aimed to prevent recurrence. Observation with supplemental oxygen, aspiration of intrapleural air, tube thoracostomy, and VATS pleurodesis with talc to prevent recurrence are the pillars of treatment. Thoracotomy should be reserved for special cases in which the patient is unable or unwilling to undergo VATS, in situations where VATS has failed or in high-risk cases.
