In our work, we often encounter such questions from patients’ families: “My loved one is old and has such a serious disease as lung cancer, can he or she still have surgery?” My answer is yes. My answer is yes, modern thoracic surgery has fully entered the era of minimally invasive surgery, and minimally invasive surgery can accomplish everything that a large incision used to do, or even better, through a small “cosmetic” incision. After a thorough evaluation of the patient’s body and careful preoperative examination and preparation, a significant number of elderly lung cancer patients can tolerate minimally invasive surgery well and recover quickly to benefit from minimally invasive surgery. Our population is aging rapidly, and several studies have demonstrated that the survival time and complication rates after minimally invasive surgery for patients in the advanced age group are not significantly different from those in the younger age group. It is not uncommon to see lung cancer patients over 80 years of age in the surgeries I have completed, and many of these senior patients can be out of bed by the next day with minimal complication rates. Therefore, can they tolerate surgery? If the patient is still in good health and has a long life expectancy, why not give the senior patient a better quality of life and a longer life span through a small operation?