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Background: Pulmonary TB prevalence is increasing every year, Andowia Health Center has the most pulmonary TB prevalence in 2015 at 57.1% who did not recover, in 2016 as many as 58.3% were not cured, in 2017 as many as 66.7% were not cured. This study aims to determine the relationship between Culture, Treatment Compliance and the Role of Health Workers with Unsuccessful Lung Tuberculosis Treatment. Method: This research is a quantitative study with a cross sectional study design. The population was 68 pulmonary TB patients and a sample of 57 people obtained by simple random sampling. Data were processed using chi-square test, closeness test and logistic regression test. Result: The results showed that out of 57 respondents, most of them were 71.9% less culture and 28.1% were good. Then 71.9% of education was low and 28.1% of education was high, 54.4% had no supervisors taking medicine and 45.6% had supervisors taking medication. Then 59.6% of family support was lacking and 40.4% were good. Furthermore, 54.4% were not compliant in treatment and 45.6% obeyed in treatment. Then 59.6% stated that the role of health workers was in the poor category and 40.4% was good. The results of chi-square test for culture p value (0.021), for education p value (0.021), for supervisors taking medicine p value (0.001), for family support p value (0.001), the role of health workers p value (0.007), treatment compliance is p value (0.004). Conclusion: There is a weak relationship between culture, education, supervisors taking medicine, family support, medication adherence and the role of health workers with the unsuccessful treatment of pulmonary tuberculosis. It is recommended for patients with pulmonary TB, so they can take medicines according to the recommended dosage. For health workers to conduct socialization and counseling about pulmonary TB disease.