**6.3 Thyroid surgery**

Thyroid surgery is least preferred treatment option for GD. It's preferred when large nodular goiter is present. Total or Near-total thyroidectomy is procedure of choice if surgery is chosen as treatment option. Patient should be rendered euthyroid before surgery by ATDs and β blockers to minimize risk of thyroid storm [57]. Saturated solution of potassium iodide (SSKI) may be used preoperatively to normalize thyroid functions and to decrease the vascularity of thyroid gland [58]. ATA recommends measurement of calcium and 25-hydroxy vitamin D before surgery and if abnormal then should be normalized. Surgery should be performed by experienced surgeon at high volumeCentre to minimize postoperative complications [59].
