Objective To explore the status and influencing factors of hypothermia in recovery room among patients undergoing thoracoscopic lobectomy, so as to provide reference for conducting targeted temperature intervention. Methods A retrospective investigation of 222 patients undergoing thoracoscopic lobectomy was conducted, the patients suffering from hypothermia in the recovery room were taken as the case group, and their counterparts without hypothermia in the recovery room were matched as the control group. The perioperative characteristics of the two groups were compared. Results Totally 93 (41.89%) patients undergoing thoracoscopic lobectomy suffered from hypothermia in the recovery room. Age, BMI, type of anesthesia, duration of anesthesia, core body temperature in the operating room and operation preparation time were the main influencing factors of hypothermia in the recovery room for patients undergoing thoracoscopic lobectomy (P<0.05, P<0.01). The time staying in recovery room and length of hospitalization of the case group were significantly longer, and their urine output was less (P<0.01 for all). Conclusion The incidence of hypothermia in recovery room of patients undergoing thoracoscopic lobectomy is a little high. Nurses should assess perioperative patients′ age, type of anesthesia, duration of anesthesia, operation preparation time, BMI and core body temperature in the opera-ting room, so as to actively prevent hypothermia in the recovery room, and pay attention to the risks caused by hypothermia in the recovery room.