The emergence of immunotherapy has ushered in a new epoch in the ever-evolving field of oncology. Thoracic malignancies, particularly lung cancer and mesothelioma, have been at the forefront of this paradigm shift due to their high mortality rates and past limitations in treatment options. This chapter delves into the transformative impact of immunotherapy on managing thoracic malignancies, a domain where the synergy between scientific advancement and groundbreaking discoveries is saving lives and redefining the future of cancer treatment. Immunotherapy has been shown to contribute to progression-free survival and overall survival in both metastatic NSCLC and SCLC. Therefore, it is widely used in both diseases. Similarly, immunotherapies are also used in malignant pleural mesothelioma and show promise in contrast to standard treatments. In this chapter, the efficacy and application areas of immunotherapy in lung and thoracic cancers will be discussed.