Recurrent pneumothorax is a rare neonatal condition and there are few cases reporting surgical treatment, mainly based on adult studies. We present a male, term newborn that after four recurrent spontaneous pneumothorax (treated with pleural needle aspiration and drains) underwent thoracoscopic mechanical pleural abrasion. There were no post-operatory complications and no recurrence reported until the second year of life. We believe that this technique is safe and effective and may play an important role in these cases.