Based on their personal experience of 20 major videothoracoscopic pulmonary resections (18 lobectomies and 2 pneumonectomies), the authors present indications and personal technique of videothoracoscopic lobectomies and pneumonectomies. Details of videoendoscopic exposure, suture and dissection of hilar elements are shown. Present limits, technical problems and intraoperative complications are also exposed.