The charts of 131 consecutive pulmonary resections were reviewed at the Jackson VA Medical Center and analyzed for trends in etiology, pathology and types of resection. Analysis of this group, as well as follow-up, are presented. We feel that this review has delineated some current trends in pulmonary resectional surgery and identified some areas for progress in the future. Only by careful assessment of one's work can one evaluate performance and plan for the future.