AIM OF THE STUDY:To analyse various types of impacted foreign bodies that occurs in thoracic surgical practice and surgical modalities opted in management of them in various parts of thorax. Materials and methods: Venue: Department of cardiothoracic surgery ,Government Rajaji  hospital and  Madurai Medical college ,Madurai.Study Period: August 2004to  April 2007.Study population: 20 patients who were  operated for impacted  foreign bodies in thorax. All patients underwent routine screening by chest x–Ray and C.T. chest / MRI when ever needed. Failure of Trial attempt of removal by oesophagoscopy / bronchoscopy  by other specialists  landed the patient for surgical exploration by thoracic surgeons. Removal of radio opaque F.B‘s were done with on table x–ray guidance / c–arm. Removal of radiolucent F.B‘s were done by surgical exploration Results: Total number of cases 20 . M:F ratio 12 : 8. Incidence was more common among young (0–30 years), 85% are Radio opaque foreign bodies & 15% are Radiolucent  Conclusion: Non vegetable foreign bodies tend to get impacted commonly which needs active surgical intervention .Cervical Oesophagus Oblique incision along the left sternomastoid muscle & exposure of oesophagus done in visceral space of neck. – Right Thoracotomy Prone position of patient & left / right posterolateral thoracotomy as indicated. Cardio– pulmonary Bye pass instituted to arrest the heart & remove foreign body. Earlier reporting of patients with earliest intervention combined with meticulous post operative care will result inlow morbidity and minimal mortality.