Successful thyroid surgery using a small incision in the neck not only treats the disease, but also maximizes the patient’s pursuit of beauty. At present, with the improvement of people’s living standard and the strengthening of health care consciousness, the incidence and detection rate of thyroid diseases are on the rise year by year. Conventional surgical incision, usually a 7cm curved neck incision, with obvious postoperative scarring, affects the beauty and reduces the quality of life. Most women, who have high aesthetic requirements, in order to better meet the needs of this group of patients, some hospitals later carried out laparoscopic thyroidectomy, which was abandoned by many hospitals in practice because of the lack of natural cavities around the thyroid gland and the need to establish a long subcutaneous tunnel from the chest, which is very traumatic. Chen Shouhua, Department of Gland Surgery, Thousand Buddha Mountain Hospital, Shandong Province Small incision thyroid surgery is less traumatic and more beautiful than traditional surgery; however, due to the reduction of operating space, it is difficult and technically demanding, requiring the surgeon’s skillful mastery of the anatomical structure, precise operation, and close cooperation, in order to achieve the effect of treating the disease with less trauma, less bleeding, and a beautiful appearance. This type of surgery requires certain surgical indications and its own requirements, and is commonly used in patients with solitary thyroid adenoma, small nodular goiter and some thyroid cancer.