Inclusion Criteria:  Patients with thyroid disease who will be undergoing total thyroidectomy (includes patients who have undergone a prior neck exploration for parathyroid disease or other but have an intact thyroid gland). Patients with persisting thyroid disease and will be undergoing re-operative or completion thyroidectomy.  Exclusion Criteria:  Pregnant women Patients with concurrent parathyroid and thyroid disease Patients with incidental enlarged parathyroid discovered during thyroidectomy procedure. Patients undergoing thyroid lobectomy or partial thyroidectomy