Outpatient thyroidectomy may be undertaken safely in a carefully selected patient population provided that certain precautionary measures are taken to maximize communication and minimize the likelihood of complications.

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Surgeon-performed US changed the operative management of patients with thyroid cancer by demonstrating additional and distinct information compared to preconsultation US in almost half of the patients. Ultrasound is more accurate and critical in the evaluation of patients with thyroid cancer when performed by the surgeon.

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Although elastography seems promising in identifying malignant thyroid nodules with acceptable accuracy, further studies are necessary to change the current management of thyroid lesions. Consequently, elastography should be used as an additional tool in the work-up of thyroid nodules instead of a single predictor of which lesions should be followed without fine-needle aspiration cytology. Therefore, this exciting methodology, so far, is inadequate to guide the management of thyroid lesions.