The efficacy of thoracoplasty was studied in 27 patients aged 21 to 61 years. The clinical structure of the patients was dominated by fibrocavernous tuberculosis — in 16 patients, infiltrative tuberculosis — in 11. Fourteen patients underwent the 6-th rib thoracoplasty, 8 patients — the 7-th rib one, 2 — the 5-th rib, 1 — the 8-th rib and 2 patients — the 4-th rib. The study results of thoracoplasty lead to the conclusion that in unfavorable outcomes of conservative antituberculous treatment the use of thoracoplasty increases the efficacy of treating patients with destructive tuberculosis.