Whether or not Hashimoto’s thyroiditis requires treatment depends on the patient’s specific condition. If there are no symptoms associated with hypothyroidism and only a goiter, no treatment is usually needed; if there are obvious symptoms of compression and hypothyroidism-related symptoms, further treatment should be considered. Hashimoto’s thyroiditis is a chronic autoimmune disease of the thyroid gland that can cause goiter and hypothyroidism. If there is only a simple goiter without symptoms related to hypothyroidism or symptoms of thyroid compression, no treatment is needed, and regular checkups are sufficient. If there are symptoms associated with hypothyroidism, such as fatigue, indifference, constipation, etc., then the use of levothyroxine sodium tablets is necessary, and if there are symptoms of compression caused by the goiter, such as breathing difficulties, difficulty swallowing, etc., then surgical treatment needs to be considered. Patients diagnosed with Hashimoto’s thyroiditis should go to the hospital in time, and under the guidance of the doctor to determine whether treatment is needed in conjunction with their own situation.