Yes, there are several different surgical approaches to thyroid removal: Endoscopic: This less invasive approach requires smaller incisions. An endoscope (flexible tube with a tiny camera on the end) and surgical instruments are inserted through the incisions. The camera transmits images to an external screen to guide the surgeon through the procedure. Transoral: In this approach to thyroidectomy, an incision is made inside the mouth to avoid an incision in the neck. Conventional: The surgeon makes an incision in the center of the neck to access the thyroid gland directly. Most people who require thyroid removal are candidates for the conventional approach.