I've had 3 punctures in the tread of my runflats, and went to replace them on the first two times. Two separate tire shops said "why replace them? these are easily repairable". I've had no problems with any of the three repairs.
If you get a puncture near or on the sidewall, you'll have to replace the tire, just like with non-runflats.
Btw, Bridgestone recommends replacing, for obvious reasons. :smile:
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