Objective To understand the epidemiological characteristics of pulmonary tuberculosis in Xuchang City,and to provide a basis for further prevention and treatment of tuberculosis. Methods The data of tuberculosis patients reported at present address in the infectious disease surveillance system from 2011 to 2020 were collected.Then the registration data was analyzed by descriptive epidemiological methods. Results From 2011 to 2020,26 940 cases of pulmonary tuberculosis patients were reported in Xuchang City.The annual reported incidence rate was 61.87/100,000,showing a downward trend (χ²_trend=351.713,P＜0.001).The ratio of the incidence of male and female was 2.67: 1.The pulmonary tuberculosis was observed in all age groups,with the largest number of cases in the 15-24 age group,accounting for 17.79%.In occupational distribution,peasant farmers were the most,accounting for 80.00 %,followed by domestic workers and unemployed,accounting for 5.46%.Moreover,students accounting for 4.40%.In the time distribution,the highest number of cases occurred from March to May.In terms of regional distribution,Yuzhou City had the highest number of cases and Xiangcheng County reported the highest incidence. Conclusion The incidence of pulmonary tuberculosis in Xuchang City has been decreasing over the years.The male population,15-24 years old group,domestic workers,unemployed,students are the priority population for tuberculosis prevention and control.Therefore,tuberculosis awareness education and active screening for these populations should be strengthened.