I have Hashimoto's Disease and had several nodules in my Thyroid. My Mayo surgeon Dr. Casler told me it was just as invasive to do a biopsy as it was to remove the organ so I opted to remove it for numerous reasons. The biggest reason being that I was having a nightmare of a time regulating my Thyroid medication. I was sick for nearly 7 years before I was diagnosed with Hashimoto's Disease and there was enough damage done throughout my entire body fro it running wild that my next natural step was to remove the organ. The pathology came back that I had Stage One Papillary Thyroid Cancer that we had no idea existed even though I had several PET Scans before deciding to have the Thyroidectomy. It took my body about 6 months to settle in to the new formulary existence no longer having the natural Thyroid and instead having the replacement medication Tirosint, which is the closest replacement to the natural Thyroid. The majority of my symptoms significantly subsided. I am 2 1/2 years out of surgery and I do no regret removing my Thyroid at all. The scar is not noticeable to anyone unless I tell them it exists. I highly recommend Dr. Casler at Mayo in Jacksonville for anyone with a Throidectomy on the horizon.