Thyroid nodules are a common condition, with treatment options including traditional surgery and modern radiofrequency ablation (RFA). Surgery involves general anesthesia, can leave scars, and may require lifelong thyroid hormone replacement, with risks such as vocal cord injury. RFA is a minimally invasive, ultrasound-guided procedure that does not require surgical incision or thyroid removal, allowing patients to go home the same day. Over time, RFA shrinks the nodule, alleviating symptoms like pressure and swallowing difficulties while preserving thyroid function. RFA is often suitable for benign, symptomatic nodules. Surgery is generally preferred for cancerous, very large, or multi-area nodules. A thorough evaluation, including ultrasound and biopsy, is crucial to determine the best treatment path based on nodule characteristics, symptoms, and individual health goals.