Objective To understand the feasibility of "End Tuberculosis Strategy" in Xifeng County,and to provide reference for precise prevention and control strategies. Methods Pulmonary tuberculosis data from 2017 to 2022 in Xifeng County was exported from monitoring and reporting management module of the Chinese Disease Control and Prevention Information System based on the patient’s current home address.Descriptive epidemiological analysis method was applied,and the epidemiological characteristics of reported pulmonary tuberculosis cases were statistically analyzed by SPSS 25.0. Results From 2017 to 2022,1 554 cases of pulmonary tuberculosis were reported in Xifeng County,average annual prevalence rate was 110.5/100 000,suggested a downward trend(χ²_trend=22.502,P＜0.001),with an annual decline rate of 6.93%.The lowest prevalence rate was in the township where the county located,the township far away from the county had higher prevalence rate.Men had a higher prevalence rate than women (χ²=72.381,P＜0.001).Farmers and herdsmen (migrant workers) accounted for 79.41% of the total cases,patients aged 60 years and over compromised 47.17% of total cases. Conclusion The prevention and control of tuberculosis in Xifeng County made great achievement.More precise prevention and control strategies should be developed and implemented to strengthen the early detection and effective intervention of patients and latent infections.