In the last 10 years, the treatment of primary lung cancer have remarkably changed and advanced. Concerning surgical treatment we have seen the introduction of thoracoscopic surgery; intentional limited resection of peripheral small lung cancer; increased number of reoperation cases for recurrence and second primary tumors in resected lung cancer; as well as developments and improvements in new anticancer drugs and their adoption to adjuvant therapy and surgical treatments. Now, we'll report four points of recent changes and advances in surgical treatment for lung cancer.