Just to give you all a different perspective, I have hyperparathyroidism (PTH was 177 a few years ago, now is 103) and your doc should be looking at the calcium levels in your blood and urine as well at PTH. I have no symptoms, not bone or kidney problems, so my doc is monitoring me every 6 months. There are tests to check various body parts that can be affected by PTH, but elevated calcium is the first bad sign. So not everyone with elevated parathyroid hormone needs surgery. I am 81, and healthy overall.