Difficulty in breathing due to compression of the trachea by the thyroid gland suggests that the thyroid gland is enlarged in size, which is a more serious condition and requires prompt medical attention for surgical treatment. If the thyroid gland increases in size and compresses the trachea, it is necessary to clarify the cause of the disease. Nodular non-toxic goiter, diffuse goiter, thyroid tumor and other causes can cause the increase in the size of the thyroid gland. When the size of the thyroid gland increases to a certain extent, it will compress the trachea and make the patient have difficulty in breathing, then it is necessary to consult the doctor in time for surgical treatment. Thyroidectomy is also required for retrosternal goiter and hyperthyroidism with malignant nodules. When the thyroid gland compresses the trachea and causes respiratory distress, the patient needs to consult a doctor and undergo surgery to resolve the compression symptoms.