The purpose of the study. Evaluation of the perioperative period in patients with bullous emphysema with various methods of exposure to lung tissue. Materials and methods. Between 2009 and 2017, 140 patients with bullous emphysema complicated by pneumothorax aged 15 to 60 years were operated on. Patients were divided into 2 groups: Group 1 — bullectomy with electrosurgical instruments and subtotal pleurectomy (71 patients); Group 2 — hardware resection of bullous lung tissue and subtotal pleurectomy (69 patients). Results. Surgery duration was longer in patients with bullectomy. In the analysis of the postoperative period, the best results were observed in patients who underwent resection of a bullous area of the lung. Conclusion. Resection of a bullous area of the lung provides better postoperative result.