Thyroid nodules found on physical examination should be of high concern. Because some nodules have a malignant rate, even if they are benign, there is a 10% malignant rate observed in the whole big data, so do not take it lightly and go for a follow-up every 3 or 6 months. If the nodule grows to a certain extent and affects breathing or swallowing, or even the nerves, such as hoarseness or Homer’s syndrome, surgical intervention or surgical excision should be actively given. Some patients even have thyroid nodules that grow behind the sternum and compress the airway, which can be a risk of suffocation, so they should be actively intervened and surgically treated. For example, if it affects the aesthetics and there is a localized bulge in the neck and shoulder, active surgical intervention is required. But provided that the patient’s desire for surgery is relatively large, sometimes the lesion is benign but the appearance can also be seen, the patient’s willingness to operate is not very large, you can also follow up and observe to further determine whether the lesion has the tendency to become malignant and do the next step of treatment.