Thoracic surgery is associated with significant postoperative pain even with a minimally invasive approach due to injury of intercostal nerves. Adequate analgesia is required to minimize postoperative complications. Epidural anesthesia has been one of the most commonly used for analgesia. In addition, several non-neuraxial regional blocks, such as the paravertebral block, the erector spinae plane block, the serratus anterior block, etc., have been used for analgesia in these patients. PROSPECT guidelines have suggested the use of gabapentinoids, corticosteroids, magnesium sulphate, intravenous lignocaine, and transcutaneous electric nerve stimulation for analgesia. This article summarizes the perioperative analgesia strategies for VATS and thoracic surgery.