The benefits of minimally invasive surgery have been applied to the treatment of intrathoracic disease. General surgeons are becoming increasingly involved with other specialties, aiding and instructing them in minimally invasive surgery. We demonstrate the technique of thoracoscopic anterior discectomy for scoliosis in a 15 year old with Marfan's syndrome. After dual lumen endotracheal intubation, the patient was placed in the decubitus position with the convexity of the thoracic curve up. Four ports placed along the mid to posterior axillary line were used for a T7-T11 four-level discectomy. The parietal pleura overlying the vertebral body was incised, and a pleural flap elevated exposing the intervertebral disc spaces. Complete discectomies of the annulus and pulposis were performed using long pituitary rongeurs, and thrombin-soaked patties placed in the disc spaces for hemostasis. Allergenic bone graft composed of cancellous bone chips was placed into each vertebral space to aid with spinal fusion. The parietal pleura was then reapproximated, a chest tube placed, and the patient positioned prone for the posterior spinal fusion with instrumentation and allograft. with the aid of advanced laparoscopic surgeons, spine specialists can offer minimally invasive approaches to various spinal disease processes.