In principle, there is no optimal treatment for hyperthyroidism in the elderly, and the appropriate treatment should be chosen according to one’s condition. The main ways to treat hyperthyroidism are medication, radioactive iodine treatment and surgery, etc. It is recommended to consult your doctor. 1. Drug treatment: mainly anti-thyroid drugs and symptomatic drugs, anti-thyroid drugs mainly include thioureas and imidazoles, thioureas include propylthiouracil and methylthiouracil, and imidazoles include methimazole and carbimazole, etc. The symptomatic drugs are mainly for the treatment of hyperthyroidism. Symptomatic treatment drugs are mainly for the treatment of arrhythmia caused by hyperthyroidism, commonly used propranolol and so on. 2. Radiation iodine: iodine 131 treatment, mainly through the destruction of thyroid tissue, reducing the production of thyroid hormones. It is suitable for patients who have enlarged thyroid gland of degree II, allergic to hyperthyroid drugs, hyperthyroidism combined with heart disease, hyperthyroidism with leukopenia, thrombocytopenia, refusal of surgical treatment or patients with high risk of surgery and contraindications to surgery. 3. Surgery: It is suitable for patients with significant enlargement of the thyroid gland, pressure symptoms, moderate to severe hyperthyroidism, ineffective long-term medication, or relapse after stopping medication, or unable to insist on taking medication, retrosternal goiter, and patients with suspected or confirmed thyroid cancer. If the diagnosis of hyperthyroidism is clear and requires treatment, you should consult a doctor in a timely manner, and under the guidance of a professional physician, choose the appropriate treatment plan according to the individual situation.