  We classify the real tight contact structures on solid tori up to equivariant
contact isotopy and apply the results to the classification of real tight
structures on $S^3$ and real lens spaces $L(p,\pm 1)$. We prove that there is a
unique real tight $S^3$ and $\mathbb{R}P^3$. We show there is at most one real
tight $L(p,\pm 1)$ with respect to one of its two possible real structures.
With respect to the other we give lower and upper bounds for the count. To
establish lower bounds we explicitly construct real tight manifolds through
equivariant contact surgery, real open book decompositions and isolated real
algebraic surface singularities. As a by-product we observe the existence of an
invariant torus in an $L(p,p-1)$ which cannot be made convex equivariantly.
