Lung volume reduction has become an accepted option for surgical treatment of pulmonary emphysema. Lately this method was introduced in Lithuania.The first 14 of 19 patients, who underwent lung volume reduction surgery, where admitted due to spontaneous pneumothorax, that is a common complication of pulmonary emphysema. Lung volume reduction using wedge resection or plication was performed in 13 and 6 patients respectively. Rethoracotomy was required for postoperative bleeding (2 cases) and prolonged air leakage (1 case). Two patients died. Pulmonary insufficiency decreased significantly in 2/3 of operated on patients. There were no recurrent spontaneous pneumothorax.