74 year old lady with a asymptomatic incidentally discovered persistent right upper lobe lung 3.5cm spiculated lesion with mild FDG PET uptake. She opted for surgical resection following a period of observation over 6 months. This is an unedited video. We have sped up the video x2 as a minimum. and at times x4 and x8, to improve its watchability. We believe an unedited video has added value over and above a heavily edited video as the audience can observe the uncertainties and inefficiencies, and even the errors, in the conduct of the surgery.