Thyroid disorders are commonly seen in women. Traditional thyroid surgery causes great psychological burden to female patients due to the surgical scar left on the neck and the severed dermal nerve leading to postoperative neck discomfort and abnormal sensation, etc. Some female patients who love beauty want to see no scar at all on the neck and have higher requirements for cosmetic results. In recent years, lumpectomy technology has made great progress in many fields. In 1997, Hussher et al. completed the first lumpectomy thyroid lobectomy with satisfactory cosmetic results. With the continuous development of lumpectomy thyroid surgery, the option of using a lumpectomy with three small holes in the chest instead of the usual surgical incision in the neck to complete the surgery at a very low position has been chosen to meet the requirements of such patients. Who can choose lumpectomy for thyroid surgery? Laparoscopic thyroid surgery can be performed in the following cases: (1) solitary thyroid nodules with a maximum diameter of <3 cm; (2) enlarged primary and secondary hyperthyroidism; (3) benign or low-grade follicular lesions; and (4) low-grade malignant papillary adenocarcinoma. However, patients are not candidates for lumpectomy thyroid surgery if they have: (1) a history of neck surgery; (2) a large goiter; (3) a malignant tumor with local infiltration; and (4) a malignant tumor with lymph node metastasis. A history of radiation therapy to the neck and thyroiditis are relative contraindications. Advantages and disadvantages of lumpectomy thyroid surgery: The biggest advantage of lumpectomy thyroid surgery is that no scar can be seen in the neck, which has a cosmetic effect. In addition, lumpectomy is clearer and more accurate, with minimal bleeding. However, it also has its disadvantage that it requires a relatively large space under the skin in front of the chest, which makes the surgery relatively more traumatic and takes slightly longer. Also, the complications that need to be avoided in open surgery need to be strictly avoided in lumpectomy as well. We do not routinely recommend laparoscopic thyroid surgery for patients, but rather offer a new option. For those patients with high cosmetic neck requirements, lumpectomy thyroid surgery may be an option depending on the condition. The average patient does not need to have this type of surgery as a routine because the routine incision is the most straightforward and requires the least amount of separation of the incision. The use of cosmetic sutures has been able to reduce the surgical scar to a very minimal level. Therefore, we routinely still use a neck incision for thyroid surgery. Minimally invasive thyroid surgery At present, we use ultrasonic knife as a new surgical tool for both conventional neck incision surgery and lumpectomy thyroid surgery, which plays a very important role in reducing surgical trauma, reducing surgical bleeding and improving surgical safety. With the ultrasonic knife, thyroid surgeries that may have taken a long time in the past can be completed in a very short period of time, with no bleeding visible throughout the surgery and no stitches to tie the surgical wound. The patient's recovery after surgery is much smoother and faster, and the length of hospital stay is significantly shorter. With the advancement of instruments, a new ultrasound tip specifically for use in thyroid surgery has been introduced and was named one of the 100 most distinctive inventions of 2007 in the United States. We believe that with the continuous advancement of technology, medical practitioners will keep pace with the times and continue to develop and innovate to provide better services and recovery for more patients. This is precisely the application of the scientific concept of development in the medical field.