Abstract: Lack of availability of medical instruments are frequent limitations in new-fangled surgeries in developing countries. Video-assisted thoracic surgery usually performed with Single lung ventilation (SLV) using a double lumen tube, at times lack of double lumen tubes necessitated the use of single lumen tubes with ‘double lung ventilation’ (DLV). The lack of evidence for the surgical and anaesthetic feasibility of the use of DLV dictated a review enabling a comparison with DLV for similar surgical procedures.