Mycobacterium tuberculosis is the cause of the major world health issue, tuberculosis (TB). The cytokine, tumor necrosis factor alpha (TNF-α) has been implicated in protection against TB in the early stages of the disease. TNF-α is an effective cytokine in the killing of intracellular M. tuberculosis. This study inducted to investigate whether there is any relationship between levels of TNF-α in sera of TB patients and their recovery, and is there any difference in the level of this cytokine in sera of female and male TB patients. This study included 29 patients with pulmonary TB (18 female and 11 male), their ages ranging from 37 to 59 years. All of them received first line TB therapy. They were consulted at Pasture Center during September 2012, at Baghdad city, Iraq. TNF-α level in sera was estimated by ELISA. Data were analyzed using Two sample T test for measuring the differences between the groups., no significant difference (p= 0.198) was found in serum TNF-α concentration between TB patients (mean= 8.09 pg/ml) and in control group (mean= 5.62 pg/ml). On the other hand no significant difference was found between serum TNF-α concentration in male TB patients (mean= 8.42 pg/ml, p= 0.71) and female TB patients (mean= 7.89 pg/ml). As a conclusion, TNF-α level in TB patients may associate with recover of the patient after treatment. On the other hand no relationship was found between the levels of TNF-α in TB patients’ sera and their gender.