The patient was a 30-year-old female with recurrent intermittent cough and hemoptysis for more than 2 years. Drug treatment was not effective. Chest CT suggested left lower lung branched enlargement. In August 2012, a total thoracoscopic left lower lung lobectomy was performed under general anesthesia. Postoperative pain was mild and recovery was fast. Television thoracoscopic surgery (VATS) has developed rapidly since its application in the 1990s and has now become a representative of minimally invasive surgery in the field of thoracic surgery, which has the advantages of less trauma, less pain and faster recovery. Total thoracoscopic surgery is a thoracic surgery technique in which three to four small openings of about 1 cm are made through the chest wall with instruments under the vision of two-dimensional images, which is the frontier of minimally invasive thoracic surgery at present.