Lateral thoracotomies include many different variants with a common final pathway, consisting of an intercostal incision. They are the most frequent incisions in daily thoracic procedures. We will describe the antero-lateral thoracotomy. Although these incisions are seldom used, it should be part of the surgeon's 'general culture'. Surgical techniques, indications, pitfalls and tips are described. Discussion and an overview of the literature are developed.
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