The neck is an important part that reflects the beauty of women. The Poetic Edda says that the collar is like a grub, which is the earliest Chinese talk about the beauty of a woman’s neck. The collar is the neck, and the grub is the larvae of the aspen and mulberry cow, which are creamy white in color, long and plump, a metaphor for the beauty of a woman’s neck. This shows the importance of the neck, however, traditional thyroid surgery causes a great psychological burden to female patients, especially young women, due to the surgical scars left on the neck, post-operative neck discomfort and abnormal sensation. In 1996, Gagnert et al. successfully reported the world’s first lumpectomy for parathyroidectomy, and in 1997, Huscher et al. completed the first lumpectomy for thyroid lobectomy. In this way, the surgical scars that were previously left in the neck were reduced and moved down to a hidden area of the body, achieving minimally invasive cosmetic results while having satisfactory clinical outcomes. With the maturation of lumpectomy technology and the development of lumpectomy instruments, lumpectomy thyroid surgery has become increasingly popular. Since the establishment of the Thyroid Disease Center in July 2015, 23 lumpectomy thyroid surgeries have been performed, of which all but one were female patients with an average age of 30.2 years. The average age was 30.2 years, including 12 cases of malignant tumors, with a malignancy rate of 56.5%. The patients were discharged 2-3 days after surgery with good prognosis. The youngest of them was 14 years old. The patient came to our thyroid center from Ningbo, Zhejiang Province, and visited the specialist clinic of Director Yin Zhiqiang. The pathology of fine needle aspiration cytology suggested that papillary thyroid cancer was considered. While lumpectomy thyroid surgery is undoubtedly a good option for this patient, this patient has a diffuse thyroid lesion, which is what we always call Hashimoto’s thyroiditis. In conventional open thyroid surgery, Hashimoto’s thyroiditis is more difficult to operate on than the average patient because of the brittle texture of the gland, which is not easy to clamp, as well as the tendency to bleed when touched, which affects the field of view in the operative area. The small operating space of thyroid lumpectomy makes it difficult to stop bleeding during surgery, and blind clamping can easily damage the laryngeal nerve, so it is more difficult and risky to perform thyroid lumpectomy in patients with Hashimoto’s thyroiditis, and the requirements for the surgeon are higher. The patient was still studying, and the surgical scar on the neck might cause psychological burden to the patient, which would affect his study, life and work in the future. In view of this, Director Yin decided to perform a lumpectomy on the patient’s thyroid. After the patient was admitted to the hospital, she completed the routine preoperative examination and underwent lumpectomy for radical thyroid cancer on the next day. Through the fine dissection and meticulous operation of Director Yin, the patient underwent the surgery smoothly and was discharged 2 days after the surgery. The postoperative pathology report showed bilateral papillary thyroid carcinoma with no metastasis in lymph nodes. With the attempts and efforts of Director Yin, the patient was cured of the disease and obtained a satisfactory cosmetic result at the same time. The patient’s family also felt very relieved, because if they had received surgery locally, they would have had to undergo a “knife” inevitably. Statistics show that the average age of patients undergoing lumpectomy thyroid surgery is 30.2 years old, an age when women are on the rise in their careers and have ordinary social activities. The neck scars left by the surgery will undoubtedly add to their psychological burden as the neck is difficult to conceal. The lumpectomy thyroid surgery, a psychological “minimally invasive” procedure, offers a new option for these patients with excellent cosmetic results that do not interfere with post-operative work and social activities. As lumpectomy thyroid surgery continues to evolve and improve, it is now able to achieve the same results as open surgery. The development of lumpectomy instruments and the magnifying effect of the lumpectomy mirror have made lumpectomy thyroid surgery more delicate and precise than open surgery, allowing better protection of the recurrent laryngeal nerve and parathyroid glands, in line with today’s medical trends.