Alan Sihoe, MBBChir, FRCSEd, FCSHK, FHKAM, The University of Hong Kong, Pokfulam, Hong Kong, shares an overview and the benefits of video-assisted thoracic surgery (VATS) for lung cancer management. VATS is a modern minimally invasive surgery that has been beneficial for lung cancer patients who are usually ineligible for surgical therapies. Current goals are to make the surgery less invasive and to ensure enhanced recovery after surgery (ERAS). VATS can also complement pharmacological advances as the time between the procedure and post-operative adjuvant therapy can be significantly reduced. Research has also revealed that circulating tumour (ct)-DNA after VATS may be a useful biomarker for survival, where a lower quantity of ct-DNA after the procedure is associated with better clinical outcomes in adjuvant immunotherapy. Dr Sihoe comments that surgeons are continuously finding useful roles for VATS in lung cancer management. This interview took place at the 2023 World Conference on L