Background
Gasless trans‐axillary endoscopic thyroidectomy (GTET) has been proved to provide better cosmetic results; however, it has limitations as dissection of central neck lymph nodes is difficult. We developed a modified approach (MGTET‐modified GTET) and compared it with the traditional one in terms of patients' health‐related quality of life (HRQoL) and cosmetic results in order to provide more convincing therapeutic results.