BACKGROUND:Surgical treatment for intrathoracic lesions has evolved around the world. Better patientselection, optimization of medical comorbidities, better perioperative care; may lead to better outcomes. METHODS: This is aprospective study conducted at Sri Aurobindo Medical College and Post–Graduate Institute, Indore, MP, India. All patients who were operated for intrathoracic lesions from August 2016 to October 2018 were included in the study. Average follow up period was 6 months in the study. RESULTS:The mean age at presentation was 54.6 years. Most of the patients 50%(10) patients were operated for lung cancer. Most commonlypatients presented with symptoms of dyspnea about 55% of them. Commonest procedure performed in our study was lobectomy.Nearly 50% (10) patients underwent lobectomy of which 6 were right sided and about 4 were left sided. CONCLUSION: Thoracic surgery is the gold standard treatment for most of the intrathoracic lesions. Patients have to be promptly optimized and carefully selected for surgery. Preoperative optimization and postoperative care can lead to difference in outcomes.