With the change in the diagnostic and therapeutic concept of thyroid diseases and increasing demands for minimally inva－sive methods and beauty，endoscopic technology has made great progress in the field of thyroid surgery. Various surgical approaches have been developed，such as endoscope-assisted thyroid surgery，transthoracic/breast approach，transoral approach，and robotic thy－roid surgery，and they all have their own advantages and disadvantages. This article reviews the surgical approaches，advantages/dis－advantages，and development trends of endoscopic thyroid surgeries commonly used in clinical practice.