Whether it is better to puncture the thyroid nodule or direct surgery needs to be considered in the context of the nature, size, location, and thyroid function of the thyroid nodule, and cannot be generalized. If you are not sure whether it is benign or malignant, you can consider having a puncture, and if you are sure that the nature is malignant, you can consider having surgery. Thyroid puncture is a method used to diagnose nodular thyroid disease and is a diagnostic technique in which a puncture needle is inserted into the body cavity to extract tissue for testing. If a thyroid nodule is not determined to be benign or malignant, a puncture is performed to determine if the thyroid nodule is malignant, and only after this is determined can the next step in treatment be taken. If the result of the puncture is a malignant tumor, surgical removal of a single lobe or total removal of the thyroid gland may be considered. Thyroid nodule puncture or direct surgery need to promptly seek medical attention, follow the doctor’s instructions for examination and treatment, to reduce the adverse effects of the disease.