Are these the key things to ask about parathyroidectomy?

Tell me if I'm not including or maybe overlooking something important below and tell me if you agree that what I've written below are the key things to ask a parathyroid surgeon about:

- Do you always try to do minimally invasive parathyroidectomy surgery on the neck? When are you forced to do non-minimally invasive surgery and does the patient know of your new plan or is it too sudden and you can't really inform a surgery-drugged patient about a notable change in the plan?

- Do you always do complete and thorough inspection to find all 4 healthy and unhealthy parathyroid glands? Do you rely only on visual inspection or is there some other maybe some technical equipment way during surgery to find one or more of the glands?

- In the case when you can't find and correctly identify all 4 parathyroid glands, what do you do during surgery? Do you then remove just 1 gland, or maybe stop at 2 glands, or what?? If you can't find all 4 glands in the usual locations, do you suspect the patient has one or more ectopic glands somewhere? How do you locate ectopic glands?

- If you've removed more than the correct number of ailing parathyroid glands, what happens to the patient? Does the patient then have to take a calcium supplement forever after your surgery? [I suppose this can only be known some time after the excisions. Yes?]

- I suppose it may not be possible to know *during surgery* that you've *permanently* damaged/severed the nerve(s) on one side serving the vocal cord on that one side (and this applies too when you do surgery on both sides). How soon after completion of the surgery does the patient usually report either a lousy voice or NO voice at all? Is this poorly uttered report or written report by the patient usually hours after surgery or days after the surgery?

- ASKED LAST IN A MEETING: If *you* had this same hyperparathyroidism medical problem and were told by one or more endocrinologists that you, beyond doubt, need surgery to remove one or more of the 4 glands, where would you go and, if you have some top parathyroidectomy surgeon in mind, who is that by name?

[End of my thoughts on questions.]

What have I not considered that's quite to really important in questioning a possible surgeon for parathyroidectomy? How are my above questions?