An apical subpleural bleb is most common pathology of primary spontaneous pneumothorax however, chronic obstructive pulmonary disease is most common cause of secondary spontaneous pneumothorax. The diagnosis is confirmed by physical examination, chest radiography and thoracoscopic examination. The typical person who present has an asthenic body, being taller and thinner than the average person. Spontaneous pneumothorax can seen in some special part of life such as; catamenial pneumothorax and during pregnancy. Therapeutic options of primary spontaneous pneumothorax is include the conservative, intermediate and invasive procedure. In conclusion we aimed the report pathophysiology, clinical evaluation and treatment options of spontaneous pneumothorax in the light of literatures with a review article.