Patients with spinal disorders all have different concerns about surgery; is my case a good candidate for this procedure? Will this procedure be effective? Is the surgery safe and so on. Is thoracoscopic scoliosis surgery risky? Patients ask: Will I be paralyzed, or have other accidents? First of all, we have to understand that all surgical procedures carry risks. But for proven surgical procedures, we should understand the risks while recognizing that the procedure is reliably safe. Minimally invasive thoracoscopic scoliosis orthopedic surgery is as safe and reliable a surgical treatment option as traditional posterior orthopedic surgery. Thoracoscopic surgery is performed under a magnified high-definition field of vision, which allows the surgeon to see more clearly and avoids mishandling; the surgery is performed under spinal cord monitoring, which allows real-time detection of abnormal signals in the spinal cord and timely adoption of targeted measures to avoid serious spinal cord nerve damage. In addition, given the strict indications for minimally invasive orthopedic surgery, other surgical accidents are less likely to occur. However, there is one contingency that must be fully recognized, which is that the patient cannot tolerate one-lung ventilation during the operation and has to give up the treatment option of thoracoscopic surgery in favor of traditional posterior scoliosis orthopedic surgery.