The most painful thoracic incision can vary depending on various factors, such as the individual’s pain tolerance, underlying health conditions, and the specific procedure being performed. However, generally speaking, a median sternotomy incision is often considered one of the most painful thoracic incisions. This type of incision involves splitting the breastbone (sternum) vertically to gain access to the thoracic cavity. It is commonly used in open-heart surgeries and can result in significant postoperative pain. It’s important to note that pain management techniques and advancements in surgical procedures have helped to minimize postoperative pain in recent years. Always consult with a healthcare professional for specific questions or concerns regarding your condition or surgical procedures.