Best Hospital for Video-Assisted Thoracoscopic Surgery (VATS)
At Medicover Hospitals, get advanced VATS surgery with expert thoracic surgeons and modern operation theatres. We ensure safe and precise minimally invasive chest procedures, reduced pain, minimal scarring, and faster recovery with comprehensive patient care.
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What is VATS Surgery?
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive surgical procedure used to diagnose and treat conditions inside the chest, including the lungs, pleura, and mediastinum. Instead of making a large incision, the surgeon uses minor cuts through which a tiny camera (thoracoscope) and special instruments are inserted. The camera provides a clear view of the chest cavity on a monitor, allowing the surgeon to perform the procedure with precision.
VATS is commonly recommended for patients with lung tumours, infections, pleural effusions, or certain oesophageal conditions. It is also used for biopsies and to treat complications inside the chest. Compared to traditional open-chest surgery (thoracotomy), VATS usually results in less pain, shorter hospital stays, quicker recovery, and fewer scars.
Types of VATS Procedures
There are several types of VATS procedures used to treat different lung and chest conditions.
- Lobectomy
- Mediastinal Tumor or Chest Wall Tumor Removal
- Air Bubble Removal
- Mechanical or Chemical Pleurodesis
- Esophageal Diverticula Removal
- Thoracic Duct Ligation
- Sympathectomy
- Thoracoscopic Laminectomy

Video-Assisted Thoracoscopic Surgery surgeon Near You
Find skilled thoracic surgeons for video-assisted thoracoscopic surgery (VATS) across India in multiple locations. Choose your city to connect with experts for minimally invasive chest procedures.
Why Choose Medicover Hospitals for Video-Assisted Thoracoscopic Surgery (VATS)?
Experienced Thoracic Surgeon: Skilled specialists ensuring safe VATS procedures with precise care and faster recovery.
Advanced Thoracic OT: Equipped with advanced thoracoscopic technology for minimally invasive chest surgery.
Get a second opinion from trusted experts and makeconfident, informed decisions.
Complete Guide to Vats Procedure
Everything you need to know about the procedure, preparation, and recovery
When is Video-assisted Thoracoscopic Surgery (VATS) Recommended?
VATS is recommended for patients when chest or lung conditions cannot be managed with medications or less invasive treatments. Some of the main reasons include:
- Lung Cancer or Suspicious Tumours: When a mass is detected in the lungs, VATS allows biopsy or removal of the affected tissue/lobe while minimising surgical trauma.
- Pleural Effusion (Fluid Around the Lungs): For persistent or recurrent fluid buildup in the chest that causes breathlessness, VATS helps drain the fluid and treat the underlying cause.
- Collapsed Lung (Pneumothorax): In cases of repeated lung collapse, VATS is used to repair leaks and prevent recurrence.
- Infections or Empyema: Severe chest infections that cause pus or thickened tissue around the lungs can be effectively treated with VATS decortication.
- Lung Biopsy: For diagnosing interstitial lung disease, tuberculosis, or unexplained chest conditions, a minimally invasive biopsy via VATS provides accurate results.
- Oesophageal and Mediastinal Conditions: Certain problems of the oesophagus or mediastinum (central chest area) may also be treated using VATS techniques.
Preparing for Video-assisted Thoracoscopic Surgery Procedure
Preparing for your VAT surgery is a key part of a smooth surgery and a fast recovery.
Medical Evaluation & Pre-Op Tests
- A detailed review of your medical history, current medications, and lifestyle habits.
- Routine tests such as blood work, ECG, chest X-ray, lung function tests, or CT scans to assess surgical readiness.
- Results are reviewed before surgery to finalise the treatment plan and address any risks.
Health Habits & Lifestyle Adjustments
- Quit smoking at least 4-6 weeks before surgery, as it improves lung function and healing.
- Avoid alcohol and stop taking blood-thinning medications (aspirin, NSAIDs, vitamin E, herbal supplements) at least 1-2 weeks before surgery.
- Eat a balanced diet rich in protein, vitamins, and minerals to strengthen the immune system and aid recovery.
Preparing Your Home & Support System
- Arrange for someone to drive you to and from the hospital.
- Prepare a comfortable recovery space with pillows, medications, water, and easy-to-reach essentials.
- Keep light meals or soups ready to make eating easier during the initial recovery days.
The Day Before & Day of Surgery
- Follow fasting instructions - usually no food or drink after midnight.
- Shower with antiseptic soap if instructed, and avoid using lotions, perfumes, or nail polish.
- Wear loose, front-opening clothes and remove jewellery before heading to the hospital.
What Happens During Video-assisted Thoracoscopic Surgery (VATS) Surgery?
VATS (Video-Assisted Thoracoscopic Surgery) is performed under general anesthesia. A breathing tube is placed to enable regular breathing. Here, the surgery begins following the steps shown below:
- Preparation & Anesthesia: On the day of surgery, the medical team reviews your case once more. General anaesthesia is given so you are fully asleep and pain-free throughout the procedure.
- Small Incisions & Camera Placement: The surgeon makes 2-4 small incisions between the ribs. A thoracoscope (tiny camera) is inserted through one incision, projecting a high-definition view of the chest cavity on a monitor.
- Surgical Instruments & Treatment: Special instruments are inserted through the other incisions. Depending on your condition, the surgeon may take a biopsy, remove diseased lung tissue, drain fluid, or repair affected areas.
- Precision with Minimally Invasive Technique: Unlike open-chest surgery (thoracotomy), VATS avoids large incisions, which reduces trauma, blood loss, and recovery time.
- Closing the Incisions: After dissecting the procedure, the instruments are taken out, and incisions are neatly sutured with surgery glue or a needle. Temporary placement of a small chest tube, to drain air or fluid, can be done.
- Post-Surgery Care: You will be observed in the recovery section and most patients are advised to walk within 24 hrs so as to enhance breathing and circulation. The stay in hospitals is normally shorter than open surgery.
Who Performs Video-Assisted Thoracoscopy Surgery?
Thoracic surgeons are specialists who perform surgeries on the chest and its organs. They are typically the ones who carry out VATS (Video-Assisted Thoracoscopic Surgery) procedures.
If you're experiencing symptoms like chest pain or breathing difficulties or have been diagnosed with a chest condition that might need surgery, it's important to seek medical advice. Start by consulting your primary care doctor or a pulmonologist(lung specialist). They will evaluate your condition and, if necessary, refer you to a thoracic surgeon for further care.
Recovery After Video-assisted Thoracoscopic Surgery (VATS)
Recovering from VATS occurs in stages, and proper care ensures a smooth healing process.
First Few Days After Surgery
- Mild chest pain, soreness, and shortness of breath are common.
- A chest tube may remain for 1-3 days to drain air or fluid.
- Gentle walking and breathing exercises are started early to improve lung function and prevent complications.
Doctor's Tip: "Pain and breathing discomfort are expected. Take medicines on time and keep doing your breathing exercises."
Weeks 2 to 4
- Pain and swelling reduce, making movements easier.
- A majority of patients are able to resume a light daily activity, including walking, domestic chores or office work.
- Lifting heavy and hard work should be avoided.
Doctor's Tip: "Don't rush. Let your body guide you - short rest breaks are excellent during this stage."
Weeks 5 to 6
- Energy levels improve, and most patients return to work if it's not physically demanding.
- Breathing feels stronger, and chest discomfort continues to decrease.
- Strenuous exercise should be avoided until cleared by your surgeon.
Doctor's Tip: Even if you feel normal, your tissues are still healing inside. Wait for your surgeon's approval before exercising.
3 to 6 Months Post-Surgery
- Most patients achieve complete recovery with improved breathing and strength.
- Scars become less visible, and the long-term benefits of VATS are noticeable.
- Regular follow-ups help ensure lasting results and detect any complications early.
Doctor's Tip: "Keep attending follow-up visits. Monitoring lung health after surgery is just as important as the surgery itself."
Benefits of VAT Surgery
- Minimally Invasive Approach: Small incisions instead of a large chest cut, leading to less pain and trauma.
- Faster Recovery: Shorter hospital stays (2-5 days) and quicker return to daily activities compared to open surgery.
- Reduced Complications: Lower risk of bleeding, infection, and breathing difficulties.
- More minor Scars: Cosmetic benefits with minimal scarring.
- Better Postoperative Comfort: Less reliance on pain medication and improved mobility soon after surgery.
- Effective Outcomes: Equally successful in treating lung cancer, pleural conditions, and chest infections when compared to traditional surgery.
Risks of VATS
- Bleeding or Infection: Although rare, any surgery carries a risk of bleeding or infection at the incision site.
- Air Leaks from the Lung: Sometimes air can escape from the lung, requiring a longer chest tube placement.
- Conversion to Open Surgery: In complex cases, the surgeon may need to switch to thoracotomy (open surgery) for safety.
- Anaesthesia Risks: Side effects such as nausea, dizziness, or reactions to anaesthesia may occur.
- Breathing Difficulties Post-Surgery: Temporary shortness of breath or reduced lung function may persist during early recovery.
- Rare Complications: Injury to nearby organs, blood clots, or nerve damage may occur, but are uncommon.
What Is the Cost of VATS Surgery?
The cost of VATS surgery in India generally varies depending on the hospital, the complexity of the procedure, surgeon's expertise, and post-surgery care required. On average, it can range from Rs. 1,00,000 to Rs. 5,00,000, with additional costs for tests, ICU stay.
Patient Success Stories
Real experiences from patients who regained their mobility and quality of life
""I was nervous about chest surgery, but VATS made it so much easier. The small cuts healed quickly, and I was back to normal life faster than I expected.""
""After my VATS procedure for lung cancer, I had very little pain compared to what I feared. The recovery was smooth, and I'm breathing much better now.""
""The doctor recommended VATS for my repeated lung collapses. It worked perfectly, I can finally breathe freely without worrying.""
Frequently Asked Questions
1. Is VATS a major surgery?
VATS is a minimally invasive surgery, not a traditional open procedure. It uses small incisions and cameras, resulting in less pain, faster recovery, and fewer complications.
2. What is VATS surgery used for?
VATS is used to diagnose and treat lung conditions such as tumors, infections, fluid buildup, and lung diseases with minimal invasion and faster healing.
3. How long is the recovery after VATS surgery?
Recovery after VATS usually takes 2 to 4 weeks. Most patients resume daily activities earlier, while complete healing depends on overall health and procedure type.
4. What is the success rate of VATS surgery?
VATS has a high success rate with effective outcomes for many lung conditions. Results depend on the disease treated and the expertise of the surgical team.
5. What are the side effects of VATS surgery?
Common side effects include mild pain, fatigue, and temporary breathing discomfort. These are usually manageable and improve during the recovery period.
6. Are there risks associated with VATS surgery?
Risks may include bleeding, infection, or lung complications, but they are uncommon. Proper care and experienced surgeons help minimize these risks.
7. How long do lungs take to heal after surgery?
Lung healing after VATS may take several weeks. Breathing gradually improves with recovery, and following medical advice helps restore normal lung function.
8. Can all patients undergo VATS surgery?
Not all patients are suitable for VATS. Eligibility depends on the condition, lung function, and overall health. A doctor evaluates each case before recommending it.