Data increasingly support the use of minimally invasive techniques (MITs) as nonsurgical options for the treatment of thyroid disease. MITs are typically performed in the ambulatory setting under local anesthesia. This facilitates rapid treatment and discharge postprocedure. Evidence supports the use of MIT for the treatment of select benign symptomatic and autonomously functional thyroid nodules. Recent literature demonstrates the potential for MIT in the treatment of primary papillary thyroid cancer as well as recurrent disease. These techniques require training, practice, and competent understanding of cervical anatomy to minimize risk and produce successful outcomes. When performed by an experienced operator, risks associated with RFA are typically lower than those associated with surgical management creating a favorable risk to benefit ratio.
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