Therapy decisions after a thyroid biopsy may be complex. The evaluation of tissue on slides may not always determine if the tissue is benign. Surgical removal of the nodule for complete analysis is appropriate therapy. For patients interested in a nonsurgical approach, the indeterminate nodule can be further studied with genetic classification testing. This is an added expense and may determine if a nodule is benign. The appropriateness of RFA therapy can be considered. Some nodules may still require surgery in order to assess for malignancy. If a scar-less approach is preferred, than Dr. Harding can discuss an endoscopic technique to remove the thyroid gland which leaves no visible scars. Currently he is the only surgeon in Arizona who is trained and experienced with this endoscopic trans-oral approach.