Common Conditions Treated
by Thoracic Surgeons
Thoracic Surgeons are trained to diagnose and treat a wide range of conditions. Here are some of the most common conditions that thoracic surgeons help patients manage:
What to Expect During Your Visit
Understanding what happens during your appointment can help you feel more prepared. Here's what you can typically expect when visiting a thoracic surgeon.
Your First Visit
- Comprehensive review of medical history, symptoms, and previous treatments
- Discussion of imaging studies (CT scans, PET scans, MRI)
- Physical examination focusing on respiratory and cardiovascular systems
- Review of pathology reports if biopsies have been performed
- Discussion of surgical options, risks, benefits, and alternatives
- Explanation of the recommended surgical approach and expected outcomes
- Initial consultation typically lasts 45-60 minutes
Diagnosis & Testing
- CT scan of the chest to evaluate tumor size, location, and lymph node involvement
- PET-CT scan to assess for cancer spread and staging
- Pulmonary function tests to determine lung capacity and surgical candidacy
- Bronchoscopy with biopsy for central lung lesions
- Mediastinoscopy or EBUS for lymph node sampling and staging
- Cardiac evaluation including stress testing for surgical risk assessment
Treatment Options
- Pre-operative optimization including smoking cessation and pulmonary rehabilitation
- Surgical procedure: VATS lobectomy, open thoracotomy, esophagectomy, or other indicated procedure
- Post-operative ICU monitoring for major thoracic procedures
- Chest tube management until lung re-expansion and air leak resolution
- Pain management using epidural catheters, nerve blocks, or patient-controlled analgesia
- Early mobilization and respiratory therapy to prevent complications
- Discharge planning with follow-up imaging and oncology coordination if needed
Tip for Your Visit
Bring a list of current medications, previous test results, and questions you want to ask. Writing down your symptoms—when they occur and what affects them—helps your thoracic surgeon provide accurate diagnosis and effective treatment.
How to Choose the Right Thoracic Surgeon
Finding the right healthcare provider is important for your health and peace of mind. Here are key factors to consider when selecting a thoracic surgeon.
Credentials to Verify
- Board certification by the American Board of Thoracic Surgery (ABTS)
- Completion of an ACGME-accredited cardiothoracic surgery fellowship
- Active, unrestricted medical license in your state
- Hospital privileges at accredited surgical centers with thoracic surgery programs
- Membership in Society of Thoracic Surgeons (STS) or AATS
- Experience with minimally invasive VATS and robotic techniques
Important Considerations
- Surgeon's volume and outcomes for your specific procedure
- Experience with minimally invasive approaches if you are a candidate
- Hospital's thoracic surgery program quality and outcomes data
- Multidisciplinary team including oncology, pulmonology, and pathology
- Availability of advanced imaging and staging capabilities
- Post-operative care resources including ICU and rehabilitation
- Surgeon's communication style and willingness to explain options
Quick Tip
Don't hesitate to schedule consultations with multiple thoracic surgeons before making your decision. The right fit isn't just about credentials—it's also about feeling comfortable and confident in your care.
Cost and Insurance Information
Understanding the costs associated with seeing a thoracic surgeon can help you plan for your healthcare needs.
Average Costs (Without Insurance)
Initial Visit
$200-$400 (surgical consultation)
Follow-up Visit
$150-$250
Common Procedures
Note: These are estimated average costs and can vary based on location, provider, and specific services required.
Insurance Coverage
- Most health insurance covers medically necessary thoracic surgery
- Pre-authorization is typically required for major thoracic procedures
- Cancer surgery is generally covered when appropriate staging has been completed
- In-network surgeons and hospitals reduce out-of-pocket costs significantly
- Facility fees, anesthesia, and pathology are billed separately
- Post-operative rehabilitation and imaging may require additional authorization
Medicare Information
Medicare Part A covers inpatient thoracic surgery including hospital stay, surgeon fees, anesthesia, and post-operative care. Part B covers outpatient consultations and follow-up visits at 80% after deductible. Prior authorization may be required for elective procedures.
Money-Saving Tips
- 1Always verify your thoracic surgeon is in-network before scheduling
- 2Ask about self-pay discounts if you don't have insurance
- 3Inquire about payment plans for expensive procedures
- 4Get prior authorization when required to avoid claim denials
- 5Use FSA or HSA funds for eligible medical expenses
Questions to Ask Your Thoracic Surgeon
Being prepared for your appointment helps you get the most out of your time with your doctor. Here are important questions to consider asking a thoracic surgeon:
What surgical approach do you recommend for my condition and why?
How many of these procedures do you perform annually?
Am I a candidate for minimally invasive VATS or robotic surgery?
What are my specific risks based on my lung function and overall health?
What is your hospital's complication rate for this procedure?
How long will I be in the hospital and what is the expected recovery time?
Will I need chemotherapy or radiation in addition to surgery?
What lifestyle changes should I make before and after surgery?
What follow-up care and imaging will I need after surgery?
What are the signs of complications I should watch for after discharge?
Pro Tip
Write down your questions before your appointment and bring them with you. Don't hesitate to take notes during your visit or ask for written instructions.
Thoracic Surgeon vs. Other Specialists
Understanding the differences between medical specialists helps you choose the right provider for your needs. Here's how thoracic surgeons compare to similar specialists:
Not sure which specialist you need?
Your primary care physician can help determine the right specialist for your condition and provide a referral if needed.
Sources & References
Information about thoracic surgeons is sourced from peer-reviewed medical literature and the following authoritative organizations:
Last updated: December 2025
Read our editorial standardsFrequently Asked Questions
What is the difference between a thoracic surgeon and a cardiothoracic surgeon?
Cardiothoracic surgery encompasses both heart (cardiac) and chest (thoracic) surgery. Some surgeons specialize exclusively in thoracic (non-cardiac) surgery, focusing on lungs, esophagus, and mediastinum, while others perform both. In academic centers, thoracic surgery is often a distinct specialty focusing on lung cancer, esophageal disease, and other chest conditions.
What is VATS and is it better than open surgery?
Video-Assisted Thoracoscopic Surgery (VATS) is a minimally invasive technique using small incisions and a camera. For appropriate candidates, VATS offers less pain, shorter hospital stays, and faster recovery compared to open thoracotomy. Oncologic outcomes for lung cancer are equivalent when performed by experienced surgeons. Not all patients are candidates for VATS based on tumor size or location.
How long is recovery after lung cancer surgery?
Recovery varies by procedure type. After VATS lobectomy, most patients go home in 2-4 days and return to normal activities in 4-6 weeks. Open thoracotomy may require 5-7 days hospitalization and 6-8 weeks recovery. Full return of energy and lung function may take several months. Your surgeon will provide specific guidance based on your procedure.
Can I live normally with one lung?
Yes, many people live active lives after pneumonectomy (complete lung removal). The remaining lung compensates over time, and most patients return to daily activities. Some limitation with intense exercise is expected. Your surgeon will assess your lung function before surgery to ensure you can tolerate the procedure safely.
What is the success rate for lung cancer surgery?
Outcomes depend heavily on cancer stage. For early-stage (Stage I) lung cancer, five-year survival rates after surgery exceed 70-80%. For Stage II disease, rates are 50-60%. Surgery is typically part of multimodal treatment for Stage III disease. Your thoracic surgeon and oncologist will discuss your specific prognosis based on complete staging.
Medical Disclaimer
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or qualified health provider with questions about a medical condition. If you have a medical emergency, call 911.
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