1, multiple nodules 1, normal thyroid function or hypothyroidism, can first try a small dose of thyroid hormone treatment, if after treatment, nodules increased, should consider surgery; if not increased, can be regular thyroid function seven, ultrasound. 2. Toxic thyroid nodules should be surgically removed after hyperthyroidism has been controlled. Individual nodules 1. Hot nodules: those with hyperthyroidism may be considered for surgery. 2. Cold nodules: ① Children or young men, especially those with past history of neck radiation therapy or nodules that are hard and immobile, with palpable enlarged lymph nodes in the neck, should be directly treated surgically; ② Newly emerged nodules with faster growth rate should be considered for surgical treatment. For thyroid nodules with calcification, especially with sand-like calcification, malignancy may be high, so early surgery is recommended; or nodules larger than 2 cm, with pressure symptoms or hoarseness, surgery is recommended. For thyroid nodules appearing after radiation therapy for breast cancer, the possibility of malignancy is high and early surgery is recommended. The treatment of this disease is based on surgical excision, but the local trauma is large and the postoperative local scarring affects the beauty. Nowadays, we can consider axillary approach, breast breast approach, subclavian approach, and even behind the ear approach to achieve good cosmetic effect with the cooperation of lumpectomy and ultrasonic knife.