Patient: Hyperthyroidism was detected in April 2010 and has been present for 2 years. She has been treated in the First Hospital of Jilin University, the Second Local Disease Hospital of Jilin City, and is currently being treated in CJU Hospital. Symptoms: protruding eyes, fear of light and tears, panic and shortness of breath, dull skin, goiter. Took medicine for two years, but the indicators have been unstable, TSH has been very low up. I was very anxious. This time at CJU checked thyroid 5 and TRAB, and ultrasound. TSH 0.008 (0.3720-4094) FT3 9.09 (2.83-7.15) FT4 31.5 (11.9-23.8) T3 4.58 (1.35-3.15) T4 254.7 (70.0-156.0) TPO 8.1 (0.0-34.0) TRAb 40.00 (0.10-1.75) Liver function tests and blood tests, all normal. Ultrasound: at least 3 nodules were found in the left and right lobes, the largest being 0.9*0.9CM. Current medication: one tablet of Sage a day (originally half a tablet, but it was increased to one tablet when the indexes were elevated), 15 capsules of hyperactivity-suppressing pills, as well as Xia Gu Cao granules and Shark Liver Alcohol. I’ve been taking the medicine for two years, but it doesn’t get better, it always recurs, so I’m very anxious. And I’ve been married for almost three years, and my in-laws are always pushing me, mainly because I’m also very anxious to have a child now. I also checked some information, besides taking medicine, there are also surgery and homoeopathy. I would like to consider surgery. I also made an appointment with Prof. Sun Hui, and she was very patient and detailed with me about the risks of surgical treatment. She said that the biggest risk was that the parathyroid glands would be touched or removed, causing convulsions in the hands and feet, and so on. I went back and was really disappointed and a bit disillusioned. But there are a few people around me who have had surgery for hyperthyroidism and their kids are 5 or 6 and healthy. Could I really be one of the unfortunate 10%. After my family’s comfort, considering the success stories of some patients around me, and my desire to have a child, I still wanted to undergo surgery. I heard that Prof. Sun and Prof. Zhang are very authoritative and reputable in thyroid surgery, so I would like to ask Prof. Zhang whether my current situation can be considered for surgical treatment. What conditions do I need to fulfill to be eligible for surgery? What other preparations do I need to make before surgery? How is the size of the thyroid gland usually defined for surgery? This is to avoid hyperthyroidism or hypothyroidism as much as possible. If I make an appointment with you or Prof. Sun around mid-May (as I am very busy at the beginning and end of the month), will I be able to make an appointment. Very much looking forward to your reply in your busy schedule. Zhang Chunhai, Department of Thyroid Surgery, China-Japan Friendship Hospital of Jilin University, China