The latest Lancet article concludes that “acute postoperative pain remains inadequately treated worldwide, and chronic postoperative pain is more severe than previously accepted,” but that “new analgesic drugs and technologies are being developed to help improve patients’ symptoms”. I agree with this view, and in my clinical work, I encounter many patients who are bothered by postoperative incisional pain or discomfort. The inability to cough and spit effectively due to severe postoperative pain can increase the chance of postoperative lung infection or even respiratory failure, and can also greatly prolong the patient’s recovery time. Even after the incision heals and is discharged from the hospital, many patients still feel chronic pain, numbness, and “tightness and pulling” around the incision. This affects the patient’s quality of life. There are 3 reasons for this situation: 1, extra-thoracic surgery is very traumatic, cutting the skin and propping up the intercostal area will cut the skin sensory nerves and damage the intercostal nerves, which is the main cause of postoperative pain and numbness. 2, there is indeed a lack of awareness of pain control among doctors, and they do not provide adequate analgesia to patients. 3, the patient’s own misconception that analgesia will affect the incision healing, here emphasize: analgesia really does not affect the incision healing, now, no need to be Guan Yun Chang. At present, there are many means to reduce patients’ pain. First of all, the minimally invasive surgery which is widely carried out now can complete the complex surgery which used to be completed with only 20-30cm open chest incision by using 2-3cm incision without propping up the intercostal area, which greatly reduces the acute postoperative pain and long-term residual pain. 2.Post-operative analgesic pump, which can be controlled by patients, is used to achieve obvious pain relief. 3.Local intercostal nerve freezing and blocking techniques are effective. 4, the most common is all kinds of drugs suitable for different levels of pain. The above means can basically make patients tolerate acute postoperative pain, and reduce or even eliminate the discomfort of distant postoperative incisional pain symptoms. Of course, the medical profession is still working hard, perhaps, in the future, thoracic surgery patients no longer have to worry about surgical pain.