New European guidelines on pneumothorax: Copernican revolution or just reinvention of the wheel?

Spontaneous pneumothorax, either primary or secondary to pre-existing lung diseases, represents a common clinical scenario to deal with in daily clinical care.In May 2024, the task force from the European Respiratory Society (ERS), European Society for Thoracic Surgery (ESTS) and European Association for Cardio-Thoracic Surgery (EACTS) issued an updated list of recommendations in this regard (1).The recommendations come some month after those issued from the British Thoracic Society in August 2023 (2).First of all, we feel that all the colleagues who gave their contribution to this document should be credited for having systematically and rigorously addressed all the most important questions in this regard.Indeed, the authors not only focused on the immediate treatment of acute pneumothorax, but also on many other important points as prevention, patient education and management of complicated cases with persisting airleak.