This document discusses the use of thoracoscopy for various pediatric surgical procedures. It provides an overview of indications for thoracoscopy, including lung biopsies, lobectomies, and repairs of esophageal atresia. The document also reports on the outcomes of 230 thoracoscopic procedures performed at Children's Mercy Hospital between 2000-2007. Complications were rare. Thoracoscopy is described as a safe and effective alternative to thoracotomy that can avoid musculoskeletal complications in children.