Acupuncture dates to 8000 BC. Several forms of acupuncture iatrogenia have been reported, including pneumothorax, hemorrhage, hematoma formation, hepatitis, site infections, syncope, near syncope, abdominal aortic disruption, HIV transmission, cardiac tamponade, endocarditis, and death.1–5 Pneumothorax has been reported as one of the most common serious side effect of acupuncture by several studies.3–5 Reports of acupuncture-associated pneumothorax cite patient presentation during, or shortly after, acupuncture therapy. Death from acupuncture-associated pneumothorax has also been reported.2,5 Different styles of acupuncture lend to different complications. Chinese-style acupuncture involves the placement and withdrawal of needles into the deep tissues of the body, while the Japanese style of acupuncture involves the placement of needles into the subcutaneous tissues. Some Japanese-style acupuncturists practice needle embedding in which needles are placed into the deep and subcutaneous tissues and broken off at the skin.1,4–5 Migration of these embedded needles has been reported to cause significant consequences.1,5 There are no previously reported cases of pneumothorax associated with the migration of embedded acupuncture needles.