Eric Lim, MD, of the Royal Brompton & Harefield NHS Foundation Trust, London, UK, discusses the updates in thoracic oncology surgery from the British Thoracic Oncology Group (BTOG) 2019 Annual Conference in Dublin, Ireland. Prof. Lim explains how there is now a focus on investigating the optimal method of combining immuno-oncology agents and surgery, and expresses his excitement at an upcoming trial looking at surgery vs. no surgery after immunotherapy for advanced lung cancer.