Our thyroid surgery department relies on the experience of more than 3,000 completely endoscopic thyroidectomies. Recently, under the guidance of Director Wang Ping, Deputy Chief Physician Wang Yong led his team to complete two consecutive transoral thyroidectomies, which is the first successful transoral thyroid surgery in Zhejiang Province and one of the few international units to successfully perform this type of surgery. The operation took 1.5-2 hours on average, and the patient recovered well with normal pronunciation after the operation. Compared to traditional thyroid surgery, this procedure leaves no scars on the body surface at all, treating the disease while having a perfect cosmetic effect. The traditional open thyroidectomy leaves a so-called “suicide scar” at the front center of the neck collar, which causes great psychological trauma to the patient. The application of lumpectomy technology at the end of the 20th century has led to the rapid development of minimally invasive aesthetic tumor technology. Minimally invasive lumpectomy of the thyroid gland is performed by making a small incision of about 25px in the area hidden by daily clothing, such as the armpit and areola, and completing the thyroid surgery with the help of a lumpectomy and some special instruments. However, this procedure still leaves 1-4 small surgical scars on the surface of the human skin. NaturalOrificeTranslumenalEndoscopicSurgery (abbreviated as NOTES) is a minimally invasive and cosmetic procedure that involves the placement of surgical instruments through the body’s naturally occurring cavities. In 2009, German surgeons were the first to use transoral endoscopic thyroidectomy in the clinical treatment of thyroid disease. disease. Subsequent clinical studies have shown that the procedure is safe, has a wide range of indications and good cosmetic results, and is particularly suitable for Asian oriental populations with flatter jaws. A week ago, Ms. Zhou, who is in her 40s, came to Dr. Wang Yong’s clinic with a thyroid mass requiring surgery. After receiving the patient, Dr. Wang Yong formulated an individualized treatment plan for subtotal thyroidectomy via oral vestibular lumpectomy through a multidisciplinary assessment of ultrasound, imaging, ear, nose and throat, taking into account the patient’s occupational characteristics and high demand for future social activities. The surgery was performed smoothly under the guidance of Director Wang Ping. The patient recovered well after the surgery, and her family was amazed that Ms. Zhou could not be seen from the outside as having undergone surgical treatment. However, not every thyroid patient can choose this type of surgery, the purpose of minimally invasive technology is “cure first, cosmetic second”, and must undergo a strict preoperative evaluation to ensure the best treatment of the disease, according to the patient’s wishes, before choosing this type of surgery, do not sacrifice the root for the end, such as large thyroid swelling, malignant lesions Patients with extensive lymph node metastases and those who have difficulty in opening their mouths are not suitable for this surgery under the current technology. We have established the first multidisciplinary thyroid surgery collaboration group, which can provide the best individualized treatment plan for patients through the comprehensive diagnosis and treatment of endocrinology, ultrasound imaging, ENT and other disciplines. The chief of the department, Dr. Wang Ping and Dr. Wang Yong, have accumulated rich clinical experience and unique insights in the treatment of thyroid and parathyroid gland diseases, and are constantly committed to promoting the development of minimally invasive thyroid surgery. We believe that with the continuous efforts of our thyroid colleagues, the thyroid department in Zhejiang Province will see further development.