Tumors arising from structures located in paravertebral1 (region between the pericardium & vertebrae) sulcus are considered posterior mediastinal tumors. Spindle cell tumours originating in the mediastinum are extremely rare. Due to profusion of structures & organs located in the mediastinum, a wide variety of these neoplastic processes develop here (neural, vascular, epithelial). Schwannomas are the most common type of nerve sheath (neurogenic) tumors in adults. Most of the mediastinal neurogenic tumours are benign & slow growing most  frequently originate posteriorly & they require surgical resection as treatment.1  Clinical symptoms occur when the tumour reaches a large size or begins to compress on surrounding structures. So with increasing technical advances these mediastinal tumours can be approached for resection thoracoscopically to reduce the morbidity of the patient. Video-assisted thoracoscopic surgery (VATS) has an evolving role in the management of mediastinal pathology being less invasive. Through this case report we are trying to show the potential thoracoscopic part of the procedure in prone position with better ergonomics is technically feasible with an enlarged & optimal visualisation of the intra-thoracic structures for the surgeon, less operative time & better respiratory results with low incidence of respiratory  complications for the patient that ease the difficulties faced in conventional surgery1 (limiting the burden of injury to ribs & underlying structures due to rib retraction & muscle destruction), less intraoperative blood loss, less chest tube drainage, & shorter hospital stays than open procedures.