Background: Thoracoscopic lobectomy for congenital pulmonary lesions is an accepted technique in pediatric surgery. With increasing number of indications, the safety and efficacy of the procedure in developing country was limited. the authors reviewed patients to evaluate early outcome. Methods: From February 2006 to April 2012, Eightysix patients underwent video-assisted thoracoscopicsurgery (VATS) for lung lobectomies were reviewed retrospectively. There were 83 patients underwent VATS completely. Results: 46 males and 37 females with 83 procedures were completed thoracoscopically. There were 17 right uppercases, 15 right middle cases, 19 right lower cases, 9 left upper cases, 24 left lower cases. Belobectomies on the right lung were performed in two cases. Operating times ranged from 50 to 310 minutes (average, 110 minutes). Chest tubes were left in all patients for 1 to 3 days. Hospital post operative staying ranged from 2 to 25 days (average, 8 days). Conclusions: Thoracoscopic lobectomy for children is safe and efficacious technique. It decreases in postoperative pain, recovery as seen in minimally invasive procedures.