Refined thyroid surgery is a new clinical concept. Refinement not only lies in the cosmetic minimally invasive, but also in the substantive meaning of fine, fully protect the important nerves and blood vessels, in order to ensure that the patient’s quality of life is not affected after the operation. If we don’t pay attention to the refinement of the surgical process, every blood vessel and nerve will be handled well, and the patients will easily experience discomfort after the operation. In recent years, the clinic has advocated refined thyroid surgery, which has unique insights into thyroid diseases. While ensuring the integrity of the resected mass, the neurovascularity and parathyroid glands should be protected, so as to fully protect the patients’ postoperative quality of life from being affected.