In recent years many authors have advocated prompt active treatment for spontaneous pneumothorax in the belief that patients treated in this way recover more quickly and suffer fewer relapses (Lenox-Smith, 1962; Smith and Rothwell, 1962; Hamel, Briggs, and Schulkins, 1963). The material on which this attitude is based is very often related to hospital admissions only and does not reflect the ov...