To understand the size of the aging population in the United States, the im
minent need to include the elderly in clinical studies oil lung cancer, and
the safe potential of video-assisted thoracic surgery, and to change aware
ness of the elderly's need for and ability to undergo treatment for lung ca
ncer, clinical studies of video-assisted thoracic surgery in patients great
er than or equal to 70 years of age are presented. The elderly are a fast-g
rowing part of the American population who are at high risk for lung cancer
and should be included in clinical studies. Age alone should not be a cont
radiction to thoracic surgical interventions when video thoracoscopy is per
formed as treatment.