Pope Leo holds first general audience since surgery

Pope Leo XIV returned to St Peter's Square, waving from his open-air popemobile as he held his first general audience at the Vatican since undergoing lung cancer surgery eight days ago.

The 71-year-old pontiff, who pledged on Sunday he would slowly resume his duties, stood in the back of the vehicle as it drove through the square, waving, smiling and stopping to talk to people.

Pope Leo had the lower lobe of his right lung removed in surgery on 13 October and has been diagnosed with lung adenocarcinoma, the most common form of lung cancer.

The diagnosis, for the youngest pope in decades who was elected only in May 2025, caused shock and raised questions about the future shape of his papacy.

This morning's audience, the first held by the pope since 7 October, followed a normal format. Crowds began gathering hours ahead of the start time, holding umbrellas under drizzling grey skies.

"The first thing I want to say to you is thank you for the support and prayers," the pope told the crowds in his opening remarks for the 50-minute event, without specifically mentioning his health.

"Thanks be to God for his generosity," said the pope, speaking in a clear voice as cheers broke out in the Square. "Let's renew our trust in the goodness and mercy of God."

After touring the Square, he offered a sermon in Italian. In the only major change from previous occasions, he gave brief greetings afterwards in seven instead of nine other languages.

Pope Leo's doctors have said his surgery was completed successfully, without complications. They have not yet disclosed the size of the tumour or whether the disease had spread to nearby lymph nodes, key factors in determining prognosis.

The Vatican has provided no indication of the pope's schedule beyond today.

The pope is due to visit Uruguay, Argentina and Peru from 6 to 17 November, in one of the most intense trips arranged for a Catholic leader in decades, but it remains unclear if that trip will go ahead as planned.

Pope Leo's lead surgeon has said he could be fully recovered in time for the trip, but the Vatican's secretary of state has indicated the pope may need to adjust the pace of his schedule to aid in recovery.