The lumpectomy-assisted small incision thyroidectomy, with a neck incision of only 1.5 cm, was first proposed by Italian surgeon Miccoli in 1997 and is therefore also known as the Miccoli procedure. At present, the indications for the Miccoli procedure are limited to thyroid nodules less than 2.5 cm, thyroid volume less than 25 ml, and no thyroid inflammation. For thyroid cancer (T1, i.e., mass less than 2 cm in diameter), the Miccoli procedure with lobectomy and lymph node dissection in the central region has been shown to be more likely to detect lymph nodes with metastatic potential and to have the same therapeutic effect as open surgery. This procedure is minimally invasive and more in line with the minimally invasive concept. The incision of traditional surgery is at least 4-5 cm, which is neither minimally invasive nor cosmetic. The current fully lumpectomy, where the incision is made in a hidden area away from the neck, is a cosmetic surgery (or “scarless surgery”), but it is not minimally invasive because of its large incision and long operation time. The Miccoli procedure is a perfect combination of cosmetic and minimally invasive thyroid surgery, which not only minimizes the incision in the neck, but also has the following advantages: minimal separation of the anterior cervical muscles and fascia; no free flap during surgery, no pulling of the flap in traditional surgery; no excessive head tilting, which reduces postoperative symptoms such as dizziness and nausea, especially in patients with combined cervical spondylosis The patient’s head does not have to be tilted back excessively, which reduces postoperative dizziness and nausea, especially for patients with cervical spondylosis. In the past two years, our general surgery thyroid group has successfully performed more than 30 cases of Miccoli procedure based on the successful implementation of fully lumpectomy thyroid surgery, which has been well received by patients and their families.