The special issue, guest edited by Dr. Giuseppe Aresu, provides a summary of different procedures carried out using the subxiphoid approach. Furthermore we have given space to hot topics in this field like lymphadenectomy, bilateral procedures and a learning curve.

Some of the best world experts in this technique have been involved in this JOVS edition, we hope that their experience and their futuristic vision will help to spread subxiphoid VATS all over the thoracic surgery community making our work less invasive and less painful for our patients.