〔Abstract〕 Objective To compare the curative effect of stereotactic body radiotherapy (SBRT) and thoracoscopy surgery on early non-small cell lung cancer (NSCLC). Methods 42 patients with early NSCLC treated in Luoyang Third People's Hospital from January 2015 to December 2018 were selected. The patients were divided into two groups: SBRT group with 21 cases received SBRT, thoracoscopic surgery group wih 21 cases received thoracoscopic surgery therapy，and the 1.2.3-year overall survival rate (OS) and disease-free survival rate (DFS) were analyzed and evaluated between the two groups. Results There was no significant difference in OS and DFS between the SBRT group and the thoracoscopic surgery group (P > 0.05). Conclusion Thoracoscopic surgery therapy and SBRT have similar clinical efficacy for early NSCLC, and both are usually the primary treatment for early NSCLC. However, SBRT can be used as the first choice for patients who are unwilling or contraindicated for surgery.