[Precision Surgery, Patient Reported Outcome, and Participatory Medicine]

The word "precision surgery" indicates the practical and perioperative implementation of the concepts of P-medicine:precise, personalized, predictive, preventive, participatory, and people-centered. Successful achievements in the arena of thoracic surgery are fully appreciated from the perspective of these concepts:precise radiomics assessment of target lesion, date-based preventive risk assessment, minimally invasive approach( for example robot and single-port), anatomical segmentectomy, high-resolution endoscope, 3D and navigational assist during procedure, clinical pathway for enhanced recovery, personalized outpatient follow-up, and so on. These new health technologies require assessment based on patient reported outcomes in addition to the traditional hard-endpoints of surgery:curability, mortality, or morbidity. Patient-generated health data plays a key role in further assessment, not to mention in empowerment, activation and participation under the outpatient settings.