Not necessarily: The main reasons to have surgery would be 1. Suspicion of thyroid cancer, 2. A big thyroid that is obstructing airway/esophagus, or 3. Hyperthyroidism (although there are other ways to treat hyperthyroidism). Best to see an endocrinologist who can evaluate you with an ultrasound and/or biopsy, if needed, and sort through these issues.
Answered 6/8/2013
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