Thyroid disorders are common in women, and some patients require surgery. However, traditional surgical procedures leave a surgical scar on the neck, which affects the patient’s aesthetics and psychological condition after treatment. Therefore, since 1997, domestic and foreign scholars have been trying to use more concealed incisions (e.g., anterior chest, areola, axilla, etc.) to reach the surgical field through subcutaneous tunnels and complete the surgery with the assistance of lumpectomy. The surgery is scarless in the neck and has better cosmetic results. However, traditional surgery is still the choice of many patients due to its wide range of indications and long history. So, when unfortunately suffering from thyroid disease that requires surgery, what should be done to choose? 1.Lumpectomy is not suitable for thyroid cancer. Surgery for malignant tumors often requires consideration of function and appearance only under the premise of radical treatment, that is, to give patients a good prognosis and then improve their quality of life as much as possible. Therefore, surgery for thyroid cancer usually involves removal of most or all of the thyroid gland, as well as removal of metastatic lymph nodes. It is difficult to remove the tumor completely because lumpectomy is not as effective as traditional surgery in revealing the surgical area. 2. Benign thyroid tumors are too large for lumpectomy. There is no natural cavity in the neck. The lumpectomy operation firstly needs to establish a surgical space by pulling or injecting gas into the neck, but the space established in this way is limited. When the tumor is too big, more than 4CM, it is difficult to expose the whole tumor in the established surgical space and the surgery will be blind, which will affect the surgical effect. 3. Bilateral goiter is not suitable for lumpectomy. The surgical incision can only be made on one side of the chest skin. When it is difficult to do the opposite side of the thyroid tumor through one side of the incision, it is necessary to make all the incisions on the opposite side of the chest again, so that there are incisions on both sides of the chest, which is often not very willing and not in line with minimally invasive. 4. Hyperthyroidism is not suitable for lumpectomy. Patients with hyperthyroidism often have diffuse enlargement of the thyroid gland and are hyperfunctional. The surgery requires the removal of most of the thyroid gland and the preservation of a small portion of the body’s needs. The procedure is more prone to bleeding, and poor exposure of the surgical area can lead to difficulties in stopping bleeding. 5. Some patients with retrosternal goiter and those who have undergone surgery in front of the neck should not undergo lumpectomy. The posterior sternal thyroid gland is not suitable for lumpectomy due to its special location and the importance of its proximity to the thyroid gland. If there is a surgical incision in the anterior neck, then an incision in the original incision is sufficient. Of course, whether it is suitable to do lumpectomy thyroid surgery to get good cosmetic effect, finally your treating doctor has to decide, when the tumor is not big, patients with high cosmetic requirements may choose lumpectomy, which will make you get unexpected cosmetic effect and enhance your confidence in work. However, patients who are not suitable for lumpectomy should not be too sorry. Due to the improvement of surgical skills and suturing techniques, the neck incision of non-scar patients can also heal well and will not bring too much trouble.