What Should I Worry About When I'm Having Thyroid Surgery?

Jon Russell, MD, FACS

March 28, 2025

Thyroid surgery can be a necessary step for many people dealing with thyroid issues. Common reasons for thyroid surgery include a benign tumor, an overactive thyroid, or even cancer. If you find yourself facing the prospect of thyroid surgery, it's completely normal to feel anxious or uncertain about what lies ahead. While the procedure can provide relief and improve your health, understanding the potential risks and complications is crucial in ensuring the best possible outcome. In this article, we will discuss what you should know before surgery and why choosing an experienced surgeon is so important.

One of the first things to understand about thyroid surgery is the potential for complications. Though rare, issues such as bleeding, infection, or damage to nearby structures can occur. The thyroid gland is located near important structures like the vocal cords and parathyroid glands, so there is a risk of affecting these areas during surgery. Damage to the vocal cords could lead to hoarseness or difficulty speaking, while injury to the parathyroid glands could result in calcium imbalances. Though these complications are uncommon, they are important to be aware of, so you can make informed decisions and ask your surgeon about how they plan to minimize these risks.

In addition to the immediate risks, there are some longer-term concerns that those undergoing thyroid surgery may need to consider. If the entire thyroid is removed, you will likely need to take thyroid hormone replacement for the rest of your life. This medication helps your body maintain normal metabolic function, but it may require adjustments to find the right dose. The good news is that with the right care, most women live well and feel great once their hormone levels are properly balanced. Regular follow-ups with your doctor are essential to monitor your health and ensure that any changes are addressed promptly.

The skill and experience of the surgeon performing your thyroid surgery play a critical role in minimizing risks and ensuring the best outcome. It’s important to find a surgeon who specializes in thyroid surgeries and has a proven track record of success. A highly experienced surgeon is not only more likely to avoid complications, but they can also provide personalized care that considers your unique needs. They will likely have options such as techniques to minimize scarring or ideas about how to minimize the extent of surgery. They will carefully assess the extent of your thyroid condition, discuss the best approach for your surgery, and be prepared to handle any challenges that may arise during the procedure.

An additional option that can be considered to help decrease the risk of complications: start taking calcium and extra Vitamin D in the week before surgery. While not as well established, Magnesium supplements may also help.

Choosing a surgeon who makes you feel comfortable, heard, and understood is just as important as their technical expertise. Don’t hesitate to ask questions, express your concerns, and seek out second opinions if needed. Thyroid surgery can be a life-changing experience, and knowing that you have an experienced and compassionate surgeon guiding you through the process can bring peace of mind. You deserve the best care, and taking the time to choose the right healthcare team can make all the difference in your recovery and long-term health.

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