Results: Among 9 patients with hyperthyroidism disease treated by endoscopic thyroid surgery: There are no case converted to open procedure; mean operative time was 196 minutes and postoperative stays was 4.6 days; no case with recurrence; 6 cases with minor pain (66.7%) and one case with mild hypothyroidism; none with recurrence; eight patients (88.9%) satisfied with the results of operation on cosmetic and neurological issus and communication.