One of the major recent advances in thyroid surgery is endoscopic minimally invasive thyroid surgery. Many patients are confused at the time of their visit as to whether their condition is a candidate for endoscopic minimally invasive thyroid surgery. What are the advantages and disadvantages of this procedure over open thyroid surgery. These questions are very important for the correct choice of treatment. 1. Understand the concept: endoscopic minimally invasive thyroid surgery refers to the use of endoscopy to perform thyroid surgery through a subcutaneous tunnel, with the aim of avoiding wounds in the neck (cosmetic) on the one hand, and performing fine surgical procedures through the magnification of the endoscope to achieve minimally invasive (precision) on the other hand. The usual practice is to make a small incision from the areola or armpit and perform thyroid surgery in the neck through the endoscope. 2. Indications for surgery: The practice of endoscopic minimally invasive thyroid surgery needs to be individualized. Usually benign thyroid nodules and tiny thyroid cancers can undergo endoscopic minimally invasive thyroid surgery. In addition the patient’s concern about the neck wound is an important reference indicator. 3. Advantages and disadvantages: The advantages of endoscopic minimally invasive thyroid surgery are first of all the cosmetic effect and the absence of scars on the neck, which is especially important for female patients who love beauty. In addition, the procedure is operated under the endoscope, the anatomy will be more detailed and the operation will be more delicate. The disadvantage is that the surgical exposure of this procedure is slightly limited, and it is not suitable for larger thyroid cancers or for cases that require removal of lymph nodes in the neck, in which case open surgery is still required.