Technological advances have driven the rapid development of medicine. The continuous improvement of technologies such as television imaging and cold light sources has led to technical changes in traditional surgery and the emergence of minimally invasive endoscopic surgery. While people are enjoying modern life such as cell phones and computers, minimally invasive surgery provides patients with higher quality services, fully reflecting the people-oriented nature of technology. Compared with traditional open-heart surgery, thoracoscopic minimally invasive surgery not only has the same surgical results, but also has the advantages of less trauma, less pain, faster recovery, aesthetics, and preservation of the patient’s immunity. Therefore, thoracoscopic surgery is considered as another technological revolution in the field of thoracic surgery after the introduction of extracorporeal circulation. Our department carried out thoracoscopic surgery in the 1990s, which is the earliest in the province and the earlier in China, and has completed thousands of various thoracic surgeries so far. Its surgical indications cover most general thoracic diseases, including: 1, lung diseases: early and middle stage lung cancer, pneumothorax, pulmonary nodules, benign lung tumors, emphysema, bronchiectasis; 2, esophageal diseases: early and middle stage esophageal cancer, esophageal smooth muscle tumor, cardia incontinence, gastroesophageal reflux disease, esophageal cyst, tumor at the gastroesophageal junction; 3, pleural diseases: early stage abscess chest, malignant pleural fluid, pleural 4, mediastinal diseases: benign mediastinal tumors, myasthenia gravis, teratoma, various mediastinal cysts; 5, autonomic diseases: primary hand sweating. 6, chest wall diseases: funnel chest.