Great neck disease, or goiter, treatment options are also determined by its function and morphology. The details are as follows: 1. If the enlarged thyroid gland is caused by hyperthyroidism, we should first control the thyroid function with oral medication to bring it to the normal range, and the enlarged thyroid gland of some patients will improve to a certain extent; after the hyperthyroidism is controlled to the standard, the patient’s thyroid gland is still enlarged obviously, and even has the symptoms of thyroid compression, then surgical treatment can be performed; 2. The thyroid function of great neck disease is If the thyroid gland is enlarged due to normal function, but the gland is swollen and compresses the adjacent trachea or esophagus, surgery is indicated in this case, and surgical treatment should be performed; 3. If the enlarged thyroid gland is considered to be due to an occupancy, a puncture should be performed to clarify the nature of the occupancy, and if it is malignant, surgery should be performed.