This article presents the characteristics of tuberculosis cases and their management in French Polynesia (FP) in 2008, and compares them with annual data since 2000. In 2008, the 48 recorded cases of tuberculosis represented the lowest incidence ever recorded (18.5 per 100,000). The majority of cases are concentrated on the island of Tahiti and in the Leeward Islands. Pulmonary forms are the most common, accounting for nearly 80% of cases since 2000. No multidrug-resistant strains have been identified in FP. Initial management of tuberculosis patients is frequently outpatient (31% in 2008). Treatment adherence is monitored at home, most often by a family member. The treatment completion rate, after a decline in 2006 and 2007, has once again exceeded the 85% threshold. Contact tracing has been systematically conducted since 2000, with an average of 1 case of tuberculosis detected per 100 contacts. Preventive treatment, previously prescribed only for children under 5, is now indicated for latent infections detected in young people and those at risk. The tuberculosis control program in Pf must also strengthen coordination among different healthcare sectors and improve conditions for care and follow-up. (R.A.)