Thoracic Insufficiency Syndrome (TIS) is a rare condition defined as the lack of ability of the chest to support normal breathing or lung growth due to abnormalities of the thorax such as flail chest syndrome, rib fusion with scoliosis, or hypo plastic thorax. If a child’s chest cannot grow, his/her lungs cannot grow and can cause life threatening breathing problems. The team coordinates a full assessment of the patient and plans possible treatment plans which may include a Vertical Expandable Prosthetic Titanium Rib (VEPTR). The VEPTR is a metal rod attached to the ribs, spine, or pelvis which has been made to give the rib cage room to grow. The team includes Pediatric sub specialists in orthopedic surgery, pulmonology, and general surgery, as well as a nurse coordinator, social worker and dietitian.