This is a retrospective, descriptive study that was carried out at the André FESTOC CHU-ME center in Bamako, running from January 01, 2018 to December 31, 2022. It focused on the records of operated and non-operated patients managed within the framework of thoracic and vascular surgery. We collected 1720 patients, 581 of whom were managed for thoracic pathologies, 1139 patients for vascular pathologies. We operated on 792 patients, i.e. 46.04% of the total. Non-operated patients either opted for medical treatment or other non-invasive therapies. The overall mean age of patients was 51.34 years, with a standard deviation of 19.51 and extremes of 2 months and 123 years. Only 76 patients (4.45%) were under 15 years of age. The sex ratio was approximately 0.9. Housewives were the most represented, at 41.51%. In-hospital mortality was 5.93%. Thoracic and vascular surgery has developed rapidly over the last two decades in Mali, and is now routinely performed with reliable and reproducible results.