Television thoracoscopic surgery, as an advanced minimally invasive technique, has been increasingly used in the clinical treatment of thoracic diseases. Because of the small wound and aesthetic appearance of the procedure, young people and female patients in particular are more receptive to it. However, as an advanced treatment modality of thoracic surgery, its advantages are not only limited to this, but people’s understanding of it is still very limited, and there are even some misconceptions. 1, the cost of thoracoscopic surgery is too high TV thoracoscopic surgery is in the patient’s chest wall to play a few small holes less than 2 cm in diameter, the special advanced surgical instruments into the chest cavity, the use of modern imaging equipment, doctors watching TV while operating to complete the operation. Due to certain requirements for the selection of materials, the cost of surgery is also mainly generated by the intraoperative disposable consumable materials, while imported materials for surgery are more expensive and account for most of the cost of surgery, but due to continuous technological advances, the use of alternative materials for surgery has greatly reduced the cost of surgery. Instead, the overall cost is not too high because of the short hospitalization time, fast postoperative recovery, less medication and fewer complications set in TV thoracoscopic surgery. 2.Thoracoscopic surgery is not suitable for cancer patients Some tumor patients think that minimally invasive surgery will affect the efficacy of surgery, in order to achieve the purpose of radical cure, so most of them are more willing to accept traditional open-heart surgery. In fact, TV thoracoscopic surgery is one of the treatment modalities of thoracic surgery. The choice of surgical modality is mainly based on the specific conditions of the lesion. For cancer patients, larger lesions and advanced cancer patients should not be selected. However, for patients with early, benign lesions, TV thoracoscopic surgery is the preferred treatment modality. The TV display during the operation greatly increases the surgeon’s “vision”, “field of view” and “line of sight “This allows the lesion to be clearly displayed on the TV and histopathological examination to be obtained, making the operation more accurate and of higher quality. Of course, TV thoracoscopic surgery has higher and more stringent requirements for the surgeon, who must undergo rigorous training and be able to correctly handle various unexpected situations encountered during surgery that are different from open-heart surgery in a timely manner. 3.Thoracoscopic surgery can completely replace open-chest surgery Although it is said that TV thoracoscopic surgery has been widely used clinically with its unique advantages, it is thought that it cannot completely replace traditional open-chest surgery. For example, such as complex chest surgery, chronic pleural infectious diseases or medical history, chest tumor over a certain range, unilateral lung function is too poor, etc., are not suitable for TV thoracoscopic surgery. Of course, these are common misconceptions about TV thoracoscopic surgery among patients encountered clinically. It is important that people’s conceptions are not bewildered by the choice of an advanced minimally invasive technology, nor should they firmly reject it, hoping that patients should combine their actual conditions and choose a more suitable treatment for their conditions.