Air leaks following thoracic surgery continue to be a significant cause of morbidity and mortality. In contemporary thoracic surgery, many aspects of post-surgical air leaks are still controversial. In developing countries like Colombia, state-of-the-art technology such as newer digital drainage systems are not always available, and surgeons rely primarily on water seal systems for air leak management. Although efforts are being made to increase the use of newer digital systems, being a third-world country has its challenges, and we emphasize the importance of following international guidelines as much as possible, especially when facing complex situations such as perioperative air leaks with limited resources.