Thoracic spine neurogenic tumors are usually given surgical treatment. Thoracic spine neurogenic tumor belongs to a kind of mediastinal tumor, which is very common in clinic and most of them are benign tumors. However, because of its special location, it is easy to cause compression to the nerves, so it should also be taken seriously. Surgery is usually needed for neurogenic tumors in the thoracic spine. The biggest risk of surgery is damage to the spinal cord and nerves, and the tumor is mainly removed via the cervical route to clarify the location of the internal jugular vein, carotid artery, hypoglossal nerve, and vagus nerve, and accidental injury to nerves should be avoided when the tumor is stripped. Thoracic spine neurogenic tumor should be treated as early as possible to avoid adverse effects.