Thyroid nodule refers to the pathological changes caused by abnormal proliferation of thyroid cells, and its surgical treatment has a long history and has always been regarded as an effective means to treat this disease. With the continuous development and progress of medical technology, the surgical treatment of thyroid nodules is also evolving to better meet the needs of patients and improve the treatment effect. As far as the current trend is concerned, the surgical treatment of thyroid nodules mainly focuses on refinement, minimally invasive and personalization. Among them, refined surgery refers to the use of advanced instruments and equipment, such as ultrasonic scalpel, bipolar electrocoagulation, etc., which can more accurately separate and remove diseased tissues, reduce the damage to normal tissues, and improve the surgical effect and postoperative recovery speed. Minimally invasive surgery refers to the use of various minimally invasive techniques, such as endoscope and robot, to reduce surgical trauma and risk, reduce postoperative pain and recovery time. Personalized surgery refers to adopting different surgical methods and techniques according to the specific conditions and needs of patients to achieve the best therapeutic effect. Looking forward to the future, there is still much room for the surgical treatment of thyroid nodules. With the continuous progress of medical technology and the improvement of people's requirements for quality of life, surgical treatment of thyroid nodules will pay more attention to patients' quality of life, postoperative recovery and social adaptability. At the same time, with the continuous development of artificial intelligence, machine learning and other technologies, the surgical treatment of thyroid nodules will be more intelligent, accurate and individualized. Doctors can accurately evaluate and predict the patient's condition through artificial intelligence and other technologies, so as to formulate a more scientific and personalized treatment plan.