Objective — to analyze current trends in minimally invasive thoracic aortic surgery at the Petrovsky National Research Centre of Surgery since the advent of minimally invasive approach to the nowadays. Material and methods. The first ascending aorta (AA) repair via J-shaped mini-sternotomy was performed in March 2016, aortic arch repair - in October 2017. The percentage of minimally invasive operations was 41.8% of all thoracic aortic procedures performed in 2016 — June 2019. A retrospective analysis enrolled 136 patients with thoracic aortic disease who underwent minimally invasive surgical treatment. Peripheral cannulation was performed in all cases. Hemiarch procedure or total aortic arch replacement were performed under bilateral antegrade selective cerebral perfusion, moderate hypothermia and circulatory arrest (mean time 18.7±4 and 53±7 min, respectively). We analyzed intraoperative, postoperative results, freedom from reoperations and follow-up survival. Results. Mean CPB and aortic cross-clumping time was 98.7±36.9 and 79.6±27.5 min, respectively for patients with aortic root and AA repair and 178±78 and 116±41 min for patients with aortic arch repair. Intraoperative blood loss and drainage output within 2 days after surgery were 710±171 and 388±96 ml, respectively. Mean ICU-stay was 1.8±0.6 days. In-hospital mortality was 1.4% (n=2). There was no relationship between complication and conversion rate with learning curve due to their uniform chronological distribution in groups.