Consultant’s View — What Patients Are Most Surprised by After Lung Surgery

Mr. Marco Scarci

Consultant Thoracic Surgeon

By Mr. Marco Scarci, Consultant Thoracic Surgeon

As a consultant thoracic surgeon, I’ve had the privilege of guiding many patients through lung surgery—from the anxious first consultation to their final recovery check-up. One thing that stands out? How surprised many patients are by certain parts of the journey.

Here are the top five surprises I hear about most often:

  1. “It wasn’t as painful as I expected.” Many people imagine unbearable pain after lung surgery. But with modern pain management and minimally invasive techniques like VATS or robotic surgery, most patients are shocked by how manageable the discomfort is. Yes, there’s some soreness—but it’s often described as “tightness” or “discomfort” rather than sharp pain. According to Macmillan’s guide on surgery for lung cancer, pain after lung surgery is often more manageable than patients expect.
  2. “I was up and walking the next day.” We encourage early movement—often on the same day as surgery. Patients are surprised to find themselves walking with physiotherapy support just hours after leaving recovery. It helps prevent complications and speeds up healing.
  3. “The scars are tiny.” Thanks to keyhole techniques, most patients go home with just a few small incisions. For many, this is a big relief—especially those concerned about body image or long-term scarring.
  4. “I felt better faster than I thought.” While everyone recovers at their own pace, it’s common for patients to say they expected to feel worse, for longer. In reality, many are back to light activities in a week or two, and back to full strength in a few months.
  5. “The emotional side caught me off guard.” Even when the surgery goes well, some patients feel emotional afterward—relief, anxiety, or even sadness. That’s totally normal. Your body has been through a major event, and your mind needs time to catch up.

My Advice After Lung Surgery: What Patients Should Know:

Prepare not just for the surgery, but for the whole journey—physical and emotional. Ask questions, follow your recovery plan, and don’t hesitate to reach out if something feels off. Your team is there for you.

Mr. Marco Scarci
Highly respected consultant thoracic surgeon based in London. He is renowned for his expertise in keyhole surgery, particularly in the treatment of lung cancer and pneumothorax (collapsed lung). He also specialises in rib fractures, hyperhidrosis (excessive sweating), chest wall deformities and emphysema.
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