The surgical procedures for papillary thyroid cancer are as follows: 1. Cutting out the thyroid gland: first of all, the approach is the entry. The first is traditional surgery, open surgery, anterior cervical approach, and anterior cervical skin incision. At present, there are more other accesses, common surgeries such as intraoral incision, areola, axillary incision, all these incisions are available. After the incision goes in, first to the vein line, there is a layer of muscle in front of the thyroid gland, the muscle anterior cervical muscle, and after the incision from the median, the bilateral thyroid gland is exposed. After separating the thyroid gland, it is freed. After dissection, the superior and inferior vessels are treated, and after the vessels are removed, the important structures behind the thyroid gland, such as the parathyroid glands, are preserved. After the laryngeal nerve is removed, the entire gland is removed by cutting through the pre-tracheal fascia immediately in front of the trachea. This is the first step to cut off the thyroid gland. 2. Pathological determination: After the thyroid gland is cut off, a rapid pathological determination is made and it is confirmed to be thyroid cancer, which requires lymph node dissection, central zone dissection or lateral neck dissection.