Objective: To analyze the tolerance of lung cancer patients with moderate pulmonary hypofunction to open-chest operation. Methods: The postoperative complications of 31 patients with moderate pulmonary hypofunction (study group) and 62 patients with normal pulmonary function (control group) were reviewed. Statistical t test and χ^2 test were set to examine the data, and logistic regression was performed to find the associated factors. Results: In patients with moderate pulmonary hypofunction, hypoxemia (41.9%), arrhythmia and cardiac dysfunction (25.8%), and pulmonary inflammation (25.8%) were common postoperative complications, and respiratory failure and cardiac failure (9.2%) severe complications. In-hospital mortality rate was 3.2%. In the control group, the incidence of the above 4 postoperative complications was 16.1%, 8.1%, 9.6% and 3.2% accordingly, and no case died in hospital. Regression analysis showed that age and resection range were associated with the occurrence of the complications. Conclusion: Common postoperative complications (hypoxemia) in patients with moderate pulmonary hypofunction are remarkably higher than those in control group, but severe complications and in-hospital mortality rate are not significantly high. Patients with older age and larger resection range undergo higher complication rate.