Thyroid surgery


General anesthesia

The duration of the operation

1-2 hours

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Thyroidectomy, or thyroidectomy, is a surgical procedure in which all or part of the thyroid gland is removed. Surgery may be necessary for the treatment and diagnosis of various thyroid diseases, such as hyperthyroidism, goiters, thyroid nodules of unclear nature (to clarify whether they are benign or malignant), inflammatory diseases of the thyroid gland, and cancers.

An endocrinologist always refers the patient to thyroid surgery. If there is a referral, the patient can choose the treatment facility and the surgeon who will perform the operation. Subsequent follow-up and replacement therapy is carried out by an endocrinologist.

Whether the thyroid gland is partially or completely removed depends on the specific medical condition and sometimes the patient’s preference. When the thyroid gland is completely removed, lifelong thyroid hormone replacement therapy is always required.

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Operation at Amsel Clinic

It is performed under general anesthesia and involves a small incision on the front of the neck above the collarbones. The surgeon removes part or all of the thyroid gland. If necessary, also removes lymph nodes or other nearby tissues. The surgical wound is always closed with a self-dissolving intradermal suture. All removed tissues are sent for a clarifying tissue examination.


Most patients can go home the same or next day. Recovery and wound healing are generally rapid, so patients return to work or exercise 1 to 3 weeks after surgery. Hoarseness, swelling of the neck or discomfort when swallowing may occur during the recovery period, but these symptoms usually resolve within 4-6 weeks.

Frequently Asked Questions

Yes, in a large review study, the average weight gain in patients two years after thyroidectomy was 2 kg. There was a greater increase (5 kg) in those who had their thyroid removed for overactive thyroid, or thyrotoxicosis, and a smaller increase (1.3 kg) in those who had their thyroid removed for other reasons.

If the entire thyroid gland is removed, lifelong hormone replacement therapy with hormone level monitoring and treatment dose adjustments is always necessary. In the case of partial removal of the thyroid gland, hormone replacement therapy is necessary in 10 -20% of patients, so to a much lesser extent.

Specific complications may include persistent voice changes (2%) and persistent parathyroid insufficiency (2%). The first is caused by damage to the vocal nerve or larynx during surgery, the second by damage to the parathyroid glands. The risk of these complications is higher with total thyroidectomy.