AIM:To sum up the experience for more effectively carrying out pneumatic retinopexy. METHODS:The cases which had taken pneumatic retinopexy were analyzed retrospectively in Guangdong provincial peoples hospital in five years. RESULTS:A total of 32 cases had taken pneumatic retinopexy, 20 cases (62.5%) of them had a successful retinal reattachment with one time surgery. The reopening of original hole for proliferative vitreoretinopathy(PVR) or new hole and macular hole without photocoagulation accounted for the causes of failure. No retinal or lens injury were observed in operation. CONCLUSION:Pneumatic retinopexy has favorable effect for small hole which locates in above quadrant, especially for shrinking hole. The method in this paper is simple and worth trying.