The prevalence of pulmonary tuberculosis among college students in Shaanxi is high. Although tuberculosis leaves much psychological and social impact on patients, little is known about its impact on college students. The objective of this study is to explore the experiences and psychological process of college students with pulmonary tuberculosis in Shaanxi, China. Methods: 17 college students with pulmonary tuberculosis were recruited purposively from 9 colleges in Shaanxi. Indepth interviews were conducted to collect data and a thematic framework analysis was used