Specialist in thoracic deformity surgery There are a large number of patients with funnel chest in primary hospitals, but few hospitals are able to perform NUSS surgery, and these patients have to be transferred to higher level hospitals. This causes a lot of inconvenience for patients. The main reason why primary hospitals cannot perform NUSS surgery is the potential risk of such a procedure. Among all the risks, the biggest one is the process of passing the plate through the gap between the sternum and the heart. This process, if not done carefully, is likely to damage the heart and lead to hemorrhage, ultimately threatening the patient’s life. It is the presence of this risk that deters many surgeons from attempting the procedure. In order to make the operation as safe and reliable as possible, NUSS surgery has always been done thoracoscopically from the very beginning of its clinical application. The thoracoscope is the surgeon’s eye. By placing the plate between the sternum and the heart under direct vision, the operation will be very safe. Primary care hospitals often do not have the means to perform thoracoscopic surgery, which objectively limits the NUSS surgery on this basis. It can be seen that the main reason why primary care hospitals do not have the means to perform NUSS surgery is the lack of thoracoscopic techniques. Under the current realities, it is unrealistic to ask primary care physicians to perform such techniques extensively, so in order to truly enable these physicians to perform NUSS surgery, the surgical approach must be improved so that the previous heavy reliance on thoracoscopy is completely simplified, and thus the use of thoracoscopy is completely abandoned. Some attempts have been made by some authors to eliminate the use of the thoracoscope, mainly by passing the guide from outside the pleura behind the sternum. Although such an operation may eliminate the use of thoracoscopy, it is technically difficult and prone to complications such as bleeding. It is obviously an unrealistic option for primary care physicians who are already inexperienced in surgery. After a long period of exploration, we have devised a unique surgical technique that can be performed without thoracoscopy altogether and that greatly simplifies the surgical operation, thus simplifying the high-risk and difficult NUSS surgery into a very safe and common procedure. Once this method is promoted on a large scale, it will enable a large number of patients to be orthopedically treated satisfactorily.