Thyroid nodules detected by ultrasound during physical examination can account for more than 20%, of which 5-15% are thyroid cancer. For a population base as large as China, the number of patients with nail cancer is very high, and most of them need to undergo total nail dissection. As for nodular goiter, which is originally a common surgical disease, many patients need surgical treatment, and many huge benign thyroid masses have higher surgical difficulty and complication rates than early-stage nail cancer. In recent years, with the development of discipline construction, many “professional thyroid surgery teams” have emerged in China. What is the difference between “professional” and “non-professional”? The following will explain. The main tests before thyroid surgery are: thyroid ultrasound, puncture (elective), nail function, laryngoscopy, and in some cases, CT of the neck, of which ultrasound is crucial in diagnosing thyroid disease. The “professional thyroid surgery team” will make sure to make a comprehensive preoperative assessment of the condition and develop the most suitable surgical plan before proceeding to surgery. The clinical treatment model can be streamlined accordingly, with pre-hospital preparation for surgery, preoperative admission one day, and post-operative discharge after necessary observation, reducing unnecessary hospitalization days, which not only facilitates patient recuperation, but also improves the efficiency of the hospital. Second, the posture cushion to reduce postoperative discomfort thyroid surgery is generally used flat head over-extension position, such position will cause postoperative dizziness, headache, neck and shoulder discomfort, increased blood pressure and other clinical manifestations, called “postural syndrome”, affecting the recovery of patients. The “professional thyroid surgery team” uses a special posture cushion for thyroid surgery, which, in addition to maintaining the head in the hyperextended position, allows the patient’s upper body to be elevated by 20-25 degrees. This detail can effectively reduce blood flow to the patient’s head and upper limbs during surgery and reduce the occurrence of postural syndrome. Third, general anesthesia to ensure patient comfort traditional thyroid surgery with local infiltration anesthesia and cervical plexus anesthesia, the patient remains awake throughout the surgery to facilitate conversation with the operator to observe changes in voice and facilitate the protection of the function of the laryngeal return nerve. In practice, however, nearly 50% of patients do not tolerate the procedure well, and pain, increased heart rate, and excessive sweating make the procedure very torturous. Moreover, the vocalization method is not very reliable in determining the function of the laryngeal nerve, with a high percentage of false positives and false negatives, which can make the surgeon anxious and affect the performance of the technique. The “professional thyroid surgery team” will definitely operate under general anesthesia with static suction compound, so that the patient can spend the surgery without any pain and the surgeon can complete the fine operation in a quiet environment! The thyroid gland is a blood-rich organ and effective intraoperative hemostasis is a prerequisite to ensure the safety of surgery. The “professional thyroid surgery team” will use ultrasonic knife, energy platform, bipolar electrocoagulator and other energy instruments to perform the surgery, compared with traditional surgical techniques, the hemostatic effect is solid and guaranteed, and suitable for the fine anatomy of the thyroid gland, under the premise of ensuring effective hemostasis, shorten the operation time by at least 1/3, which is greatly beneficial to the patient’s recovery. It is also suitable for the fine anatomy of the thyroid area. The application of intraoperative nerve monitoring technology is one of the most important structures to be protected in thyroid surgery, and its protection is an eternal theme of thyroid surgery research. The application of intraoperative nerve monitoring techniques based on skilled dissection is a common approach used by “specialized thyroid surgery teams”. This method is particularly suitable for difficult thyroid surgeries such as locally advanced tumors, reoperation, huge thyroid masses, and preoperative paralysis of the recurrent laryngeal nerve, and has been widely recognized in the industry for reducing the overall rate of damage to the recurrent laryngeal nerve by 50%. Sixth, lymphatic tracer protection of the parathyroid glands The parathyroid glands are adjacent to the growth of the thyroid gland and are also important endocrine organs. Due to their small size and unidentifiable appearance, they are very prone to hypofunction after thyroid surgery, resulting in corresponding clinical manifestations such as numbness and convulsions of the hands, feet and face. The method of parathyroid gland protection is also a hot topic of thyroid surgery research. The “professional thyroid surgery team” will use lymphatic tracers to highlight the non-staining area through the color of the lymph nodes and pay attention to the protection of the non-staining area to improve the protection rate of the parathyroid glands and the clearance rate of the diseased lymph nodes. 7. Standardization of the extent of thyroidectomy is the principle that the “professional thyroid surgery team” adheres to according to domestic and international guidelines and treatment norms. For thyroid cancer, there are only two types of resection: total thyroidectomy and lobe + isthmus resection. For benign disease, we try to remove the lobe on the side of the lesion. For resection of nodules that cannot be determined as benign or malignant, glandular lobectomy is used as the standard approach for surgical biopsy. These surgical concepts will be different compared with traditional methods, especially for cases without a diagnosis of nail cancer, glandular lobectomy will increase the chance of surgical complications, but for cases where the postoperative pathological diagnosis does not match the preoperative intraoperative diagnosis, or where some specific pathological types can only rely on postoperative diagnosis, glandular lobectomy undoubtedly reduces the proportion of reoperations. Effectiveness of wound drainage Traditional thyroid surgery uses skin drainage, while the “professional thyroid surgery team” uses drainage tubes for drainage. The advantages of this change are: (1) skin sheet drainage is open drainage and drainage tube is closed drainage, which reduces retrograde infection and is more in line with the principle of asepsis; (2) skin sheet drainage cannot last longer than 48 hours after surgery to avoid infection, but the drainage tube can be left in place for a longer period of time until the drainage is clean and then removed, which reduces complications of poor drainage and wound effusion; (3) skin sheet drainage easily soaks through the dressing and requires timely wound dressing change to reduce contamination. Contamination, which is especially frequent on the postoperative day, affects the patient’s rest to a certain extent, which rarely occurs with drainage tube drainage. This is particularly frequent on the postoperative day and affects the patient’s rest to a certain extent. ④ The exudate from the drainage tube will flow into the transparent drainage bag, which is easy to measure and observe the properties, and is of great significance in determining the recovery and guiding the treatment. In summary, the “professional thyroid surgery team” is developing in the direction of meticulous treatment procedures, surgical techniques, and service concepts to ensure both the effectiveness of treatment and the physical and mental health of patients.