What We Do

Thoracic surgery is the surgical subspecialty that deals with diseases of the chest (thorax), as well as the trachea, esophagus and stomach. Some of the more common conditions we treat include lung cancer, esophageal cancer, hiatus hernia (esophageal reflux), metastatic disease to the lungs and end-stage lung disease from any cause. Many of these conditions are treated using minimally invasive surgery.

Our Programs

We provide specialized care to patients through the following programs:

Tests & Services

How to Prepare

Your first appointment can take 2 hours or more. After your visit, you will likely go to the Blood Collection Lab for blood tests. Follow-up appointments usually take 15 to 30 minutes.

Learn more about what you can expect when you have a clinic appointment.

 Materials and Resources to Help You

​Visit our Health Information section and find dedicated resources to help you understand your condition. Find the information​ you'r​e looking for.​​​​​​​​

Resources from the Patient & Family Education Program PDF Icon

* These material(s) are also available in other languages.

 Meet Our Team

UHN’s Thoracic Surgery team
UHN’s Thoracic Surgery team (from left): Dr. Kazuhiro Yasufuku, Dr. Shaf Keshavjee, Dr. Gail Darling,
Dr. Marc de Perrot, Dr. Andrew Pierre, Dr. Marcelo Cypel and Dr. Thomas Waddell.

Our thoracic surgeons are leaders in their field, creating new and groundbreaking surgical techniques to improve the treatment and care of our patients.

One of these revolutionary treatments is the Toronto XVIVO Lung Perfusion System developed by Dr. Shaf Keshavjee, Chief of Innovation at UHN. This technique repairs damaged donor lungs prior to transplantation and will quadruple the number of donor lungs available to patients awaiting a lung transplant.

Our surgeons are also leading the development of exceptional image-guided and minimally invasive surgical techniques, enabling them to perform life-saving procedures that were once considered impossible.

Our team is focused on new frontiers of discovery, including harnessing the power of stem cells and gene therapy to repair and regenerate damaged tissue, essentially allowing patients’ bodies to heal themselves.

Chief of Innovation: Dr. Shaf Keshavjee

Division Head:  Dr. Kazuhiro Yasufuku

Residency Program Director: Dr. Andrew Pierre

Thoracic Surgeons:

Interventional Pulmonologist: Dr. Kasia Czarnecka-Kujawa

Nurse Manager: Ina Cherepaha-Kantorovich

Nurse Navigator: Marco Cheung

Nurse Practitioners:

  • Marijana Zubrinic
  • Anastasia Bykova

 Referring Patients to Our Programs

Referral Information for Physicians

For All Referrals

To submit a referral, please provide:

  • A letter of referral
  • Clinical notes
  • Test reports (blood work, CT scan reports, PET scan reports, MRI reports, cardiology test reports)

If this information is not included, your referral may be returned as incomplete.

Fax your referral directly to the physician's office at the appropriate number below:

Surgeon Phone Fax Clinic Hours
Dr. Marcelo Cypel 416 340 5156 416 340 4798 Friday: 9:00 am to 4:00 pm
Dr. Laura Donahoe 416 340 4800 ext. 6529 416 340 4556 Tuesday 10:00 am to 4:00 pm (CTEPH Clinic)
Friday 1:00 pm to 4:00 pm
Dr. Shaf Keshavjee 416 340 4010 416 340 4556 Monday: 9:00 am to 4:00 pm
Dr. Marc de Perrot 416 340 5549 | 416 340 4800 ext. 5274 (CTEPH Clinic) 416 340 3478 Tuesday: 10:00 am to 4:00 pm (CTEPH Clinic)
Thursday: 9:00 am to 12:00 am
Dr. Andrew Pierre 416 340 5354 416 340 4556 Monday: 9:00 am to 12:00 pm
Tuesday: 9:00 am to 12:00 pm
Dr. Tom Waddell 416 340 3432 416 340 4556 Thursday: 1:00 pm to 4:00 pm
Friday: 9:00 am to 12:00 pm
Dr. Elliot Wakeam 416 340 4800 ext. 3121 416 340 3660 Monday: 9:00 am to 12:00 pm
Friday: 9:00 am to 12:00 pm
Dr. Kazuhiro Yasufuku 416 340 4290 416 340 3660 Tuesday: 9:00 am to 12:00 pm
Wednesday: 9:00 am to 12:00 pm
Dr. Jonathan Yeung 416 340 4800 ext. 6529 416 340 3660 Monday: 9:00 am to 12:00 pm

Some physicians' offices will send you a confirmation of receipt.

Someone from our office will call you with information about the patient's first appointment.

Your office is responsible for providing the patient with the appointment information, including time and location, and important documents, test results and imaging that they must bring.

It is extremely important to ensure that your patient brings the following as these will be required at their first appointment:

  • Chest x-rays – on CD
  • CT scans – on CD
  • MRI scans – on CD
  • PET scans – on CD

Urgent Referrals

If your patient needs immediate, urgent care, please:

  • Fax a referral letter to 416 340 3353 and mark URGENT.
  • Call our nurse patient navigator at 416 340 5138 to ensure your fax was received.

Referrals to Specialized Programs

Lung Cancer Rapid Assessment & Management Program (LungRAMP)

Please complete our referral form and send to our dedicated fax line at 416 340 3353.

Go to LungRAMP

Benign Esophageal Disease Program

Referrals may be directed to:

Dr. Andrew Pierre
Fax: 416 340 4556

Dr. Elliot Wakeam
Fax: 416 340 3660

Dr. Jonathan Yeung
Fax: 416 340 3660

Go to the Benign Esophageal Disease Program

Interventional Thoracic Surgery Program

Please fax your referral to Dr. Kazuhiro Yasufuku at 416 340 3660.

Go to the Interventional Thoracic Surgery Program.

Mesothelioma Multidisciplinary Program

Please fax your referral and supporting documents to 416 340 3853.

Go to the Mesothelioma Multidisciplinary Program

Toronto Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Program

Please fax your referral to Dr. Marc de Perrot at 416 340 3478.

Go to the Toronto Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Program

Surgery for Emphysema Program

Referrals should come from pulmonary medicine specialists to ensure all other medical treatments have been optimized.

Please fax your referral to Dr. Thomas Waddell at 416 340 4556.

Go to the Surgery for Emphysema Program

Lung Metastasis Program

To complete the referral process, first download and complete the referral form .

Please fax your referral to our dedicated line: 416 340 3353. We will review the form to ensure that it is complete; if it is not complete, we will return the form to you.

In addition to the completed referral form, please make sure to include:

  • All relevant clinical history and notes.
  • CT reports and additional diagnostic screening reports.
  • Any biopsy/pathology reports (including lung biopsies and past cancer biopsies).
  • Important: If the patient's imaging is from outside UHN, Women's College Hospital or Mount Sinai Hospital, please send a CD with patient's imaging to:
    Toronto General Hospital – Lung Metastasis Clinic
    c/o Areej Waqar
    200 Elizabeth St., 9N-934
    Toronto, ON M5G 2C4​
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