For patients with thyroid disease, the circumstances under which surgery is required are of great concern to both physicians and patients. I list the indications for surgery for thyroid disease for your reference: I. Indications for surgery for thyroid nodules (1) Thyroid nodules are not excluded from malignancy: ① nodules are non-cystic and have recently increased in size. (2) Ultrasound shows calcification of the nodule; (3) Ultrasound shows hypoechoic nodule with abundant blood flow; (4) Ultrasound shows cystic nodule with papillary protrusions; (5) Ultrasound shows extraglandular growth of the nodule with poorly defined boundaries with the surrounding tissue. (6) Restricted strong echogenic spots in the thyroid gland with poorly defined borders; (7) FNA puncture or CAN puncture suggesting malignancy or suspected malignancy. (2) Isthmus nodules larger than 2 cm (or with uncomfortable symptoms), affecting the aesthetics. Or the lateral cervical nodes are obviously enlarged and affect the aesthetics. (3) The nodule is larger than 2 cm, and the patient himself requests surgical treatment. (4) Those who have symptoms of tracheoesophageal compression. (5) Those with hyperthyroidism (toxic multinodular goiter: subclinical hyperthyroidism, hyperthyroidism). (6) Post-thoracic goiter. (1) Secondary hyperthyroidism (toxic multinodular goiter) or high-functioning adenoma; (2) Moderate or higher primary hyperthyroidism with significantly enlarged glands; (3) Large glands with compression symptoms or post-thoracic goiter; (4) Relapse after antithyroid drugs or 131I therapy or difficulty in adhering to long-term medication; ( (5) hyperthyroidism combined with heart disease; (6) hyperthyroidism combined with suspected cancer of the thyroid gland; (7) hyperthyroidism in early and mid pregnancy (1) acute thyroiditis with abscess formation; (2) subacute thyroiditis: (1) 3 to 4 months of regular treatment, pain, fever and other symptoms are not relieved, or accompanied by symptoms of pressure, affecting work and life; (2) can not exclude thyroid cancer; (3) the patient can not be ruled out. (2) Those who cannot exclude thyroid cancer; (3) Those whose pain is relieved after treatment of subacute thyroiditis but whose thyroid nodules persist for a long time. (3) Hashimoto’s thyroiditis: (1) enlargement of the thyroid gland that affects aesthetics; (2) significant thickening of the isthmus with symptoms of pressure; (3) thyroiditis that cannot be excluded with the possibility of local malignancy; (4) Hashimoto’s recurrent hyperthyroidism or progressive moderate hyperthyroidism.