Pulmonary tuberculosis is the second most common infectious killer, claiming more than one million lives each year. The tuberculosis is common worldwide, but it is endemic in some parts of the world, such as Asia and Africa. The documented cases of endobronchial tuberculosis are less than that the magnitude of the problem because bronchoscopy and high resolution computed tomography is usually not performed in all cases of suspected or confirmed pulmonary tuberculosis. The complications and late sequelae are major challenges where infrastructure and expertise in Interventional bronchoscopy are warranted.