Electromagnetic navigation bronchoscopy using overlaid CT Images is a safe procedure. It improves the diagnostic yield of the flexible bronchoscopy for peripheral lesions and also allows sampling of the mediastinal lymph nodes. Additionally, the system provides several other advantages: there is no additional radiation, and it has a short learning curve. It can also be used for fiducial marker placement for brachytherapy or stereotactic radiosurgery. It plays a complementary role to other modalities such as ultrathin bronchoscopy or an endobronchial ultrasonography.