The article presents clinical cases of patients admitted to the Trauma Centre of the Military Medical Institute – National Research Institute in the second half of 2024. Patients were treated in accordance with current medical knowledge in the Department of General, Oncological, Metabolic and Thoracic Surgery and the Department of Anaesthesiology and Intensive Care. Effective pleural drainage was the most common minimally invasive method used in our patients. Some cases required a more complex procedure, such as video assisted thoracoscopic surgery. Surgical approaches using the Matrix or Stratos set, which allows for chest reconstruction after injuries with rib fractures, was the most expensive techniques used. Modern contemporary surgical techniques, such as video assisted thoracoscopic surgery, are used not only for elective oncological surgeries, but also in traumatic emergency patients. A minimally invasive approach in a trauma patient reduces hospital stay, recovery time, and exclusion from professional life. Considering the needs of the Polish Armed Forces in terms of thoracic procedures, which are addressed by the Military Institute of Medicine – National Research Institute in Warsaw, the paper indicates increasing challenges in this field of medicine. The procedures described below are a standard known from prestigious European thoracic surgery centers. The constant development of thoracic surgery seems to be justified, especially in the military health service. We believe that continuous education and implementation of these techniques is crucial for maintaining proper protection o f the Polish Armed Forces.