In this focused issue on “Technology Advancements in Thoracic Surgery”, guest edited by Dr. Luca Bertolaccini and Dr. Piergiorgio Solli, we try to reference current concepts in the wider context of technology innovation to the field of Thoracic Surgery innovations. Current thought will be reviewed, and new terms and concepts will be provided. The primary goal of this issue will be to initiate a dialogue on surgical innovation practice and policy that builds upon emerging concepts in technology innovation research in Thoracic surgery.