Patient: One year ago, the right lobe was 1.8*0.9, now it is 2.2*1.2 with enlarged lymph nodes in the inferior frontal gland area, do we need to operate? Can it be cured? Tian Xingsong, Department of Gland Surgery, Shandong Provincial Hospital: Whether nodular goiter needs surgery or not should depend on the condition of the nodules. Generally, multiple small nodules can be observed, and if the growth is slow, surgery can be avoided for the time being; if it grows fast in a short period of time, the patient should go to the hospital to find a doctor to take a look at it, and then decide to have the surgery according to the situation. The indications for surgery for nodular goiter are: huge nodular goiter affecting working life; nodular goiter combined with hyperthyroidism; thyroid bone is enough for goiter; and malignant changes cannot be ruled out in nodular goiter. Nodules should be examined regularly, preferably by a specialized doctor.