Chest tube placement is considered an obligatory step in thoracic surgery [4,5], and post thoracotomy pleural drainage is not subject to criticism [3]. However, in some situations, chest tube drainage can be avoided without risk, even when we perform minor lung resections. The development of atraumatic sutures and mechanical staplers has made possible an air tight section of lung tissue, allowing pulmonary resections with effective hemostasis and aerostasis. If you control bleeding and air leaks and have an effective expansion of the reminiscent lung, pleural drains are not necessary. Larger resections may demand the use of strips of cellulose or pericardium to buttress the suture. Resections performed out from the free border of the lung should be carefully closed to avoid air leakage. Special care is necessary for larger resections that require a V or U shape wedge resection. Intersections of the staples’ lines should be complete and when it is not possible, they should be completed by manual buttressed sutures. Careful lung insufflation at the end of the procedure eliminates residual pleural fluids and check’s air leaks. Surgeon and anesthesiologist communication is important to achieve complete lung expansion. Following these steps leads to a small incidence of pleural space problems and makes pleural drainage unnecessary. We must point out that the decision to avoid pleural drainage should be taken at the end of the operation when security conditions have been achieved. The absence of chest tubes in the post operative period offers comfort and less pain for the patient, less hospital stay and even less expense. Nursing care is simplified ,and patients’ activities are not hampered [2].