Bilateral multiple thyroid nodules refers to the presence of multiple nodules on both sides of the thyroid gland, most of which are benign nodules, but malignant nodules are not completely excluded. If ultrasound examination reveals multiple nodules on both sides of the thyroid gland, most of them are benign nodules, which are commonly found in nodular goiter and thyroid adenoma, etc. Thyroid ultrasound, CT and thyroid function tests should be further improved to clarify the morphology and size of the nodules, as well as whether the function of the thyroid gland is normal or not. If malignant nodules are suspected, puncture examination should also be performed to clarify the nature of the nodules. If the thyroid function is normal and not accompanied by other symptoms, it is recommended to go to the hospital for regular checkups and pay attention to detecting changes in the thyroid nodules. Once abnormal changes are detected, such as abnormal thyroid function, treatment should be carried out as soon as possible with a specialized doctor. In case of malignant nodules caused by nodular goiter or thyroid adenoma, further consideration should be given to surgical treatment to control the condition at an early stage.