Surgery for pulmonary aspergillosis was evaluated in 20 patients who underwent surgery. These included pulmonary aspergillosis in 17, bronchial aspergillosis in 2 and pleural aspergillosis in 1, respectively. The operative procedures were mainly lobectomy and segmentectomy except for one in whom fenestration was carried out. With advances in development of drugs such as fluconazole and miconazole, surgical outcome was improved without any operative death related to surgery as far as healthy polmonary tissues are preserved. Nevertheless, it is emphasized that severity of preexisting disorder should be precisely assessed prior to surgery