Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Jonathon O. Russell MD, FACS, and Associate Editor Raymond Liu Chai, MD, to discuss the pros and cons of two approaches to thyroidectomy as outlined in the paper “Long-term Quality of Life After Thyroidectomy: Transoral Endoscopic Thyroidectomy Vestibular Approach Versus Transcervical Approach” which published in the July 2024 special issue of Otolaryngology–Head and Neck Surgery. They compare the quality of life for patients under two methods including scarring and self consciousness.