Say No to Thyroid Surgery

Medical innovations are disrupting the over-treatment of thyroid disease, helping patients avoid thyroid surgery and preserve their quality of life.​

Philip James

About Philip James

Author Philip James is known for hosting the Doctor Thyroid and RFAMD podcasts, where he delves into thyroid health with more than 150 interviews with medical experts. His own difficult experience with thyroid surgery brings a personal touch to his work, motivating him to educate and support patients in understanding thyroid care. His combination of personal insight and professional involvement provides listeners with a well-rounded view of alternative treatments and a focus on patient care in managing thyroid health.
Doctor Reviews of

“Say No to Thyroid Surgery”

"This book marks a significant shift towards patient-centric care, spotlighting thyroid ablation as a game-changer. It's a must-read for those exploring safer alternatives to traditional surgery, aligning perfectly with our vision for the future of thyroid treatment."
Dr. Stefano Spiezia
Naples, Italy 🇮🇹
"A pivotal resource that echoes my own journey towards less invasive treatments. The book captures why we should prioritize quality of life and patient outcomes above all in thyroid care."
Dr. Erivelto Volpi
São Paulo, Brazil 🇧🇷
"Having performed over 150 thyroid RFA procedures, I see this book as a beacon for patients and physicians alike. It highlights the critical need for informed choices and the vast potential of non-surgical methods in transforming thyroid care."
Louisiana, United States 🇺🇸
"This book champions the patient's perspective, emphasizing the importance of exploring all treatment options. It's a reflection of the evolving landscape in thyroid care, where patient wants and needs lead the way."
Florida, United States 🇺🇸
"From my extensive work with RFA, I can attest to the transformative impact of minimally invasive procedures detailed in this book. It serves as a vital resource, advocating for a nuanced approach to thyroid care."
Rio de Janeiro, Brazil 🇧🇷
"Specializing in thyroid ablation, I commend this book for highlighting the shift towards less invasive treatments. It resonates with my practice, where patient well-being and innovative care are paramount."
Monterrey, Mexico 🇲🇽
"From my practice in Ecuador to a global audience, this book resonates with my belief in compassionate care and the transformative power of RFA. It's an invaluable guide for anyone navigating the complexities of thyroid disease management."
Quito, Ecuador 🇪🇨
"As someone who has transitioned from surgery to ablation, I find this book an essential narrative that underscores the importance of minimally invasive approaches. It's a testament to innovation and patient-centered care in thyroid health."
California, United States 🇺🇸
"Addressing the critical issues of overdiagnosis and overtreatment, this book aligns with my work in minimally invasive treatments. It's a crucial read for those committed to advancing patient safety and quality of life."
Milan, Italy 🇮🇹


"Say No to Thyroid Surgery" provides a comprehensive exploration into the management and treatment of thyroid conditions, emphasizing avoiding unnecessary surgical interventions.

The book showcases a detailed examination of minimally invasive techniques, such as Radiofrequency Ablation (RFA) and Microwave Ablation (MWA), offering new insights into their efficacy, practical application, and real-life strategies for patients. 

A significant portion of the book is dedicated to the concept of active surveillance, a method particularly advocated for certain types of thyroid cancer, like papillary microcarcinomas, that often do not require immediate surgical intervention. Highlighting the work and findings of Dr. Akira Miyauchi and Dr. Michael Tuttle, the book delves into the safety and effectiveness of active surveillance. It presents compelling data demonstrating that, in many cases, active surveillance can significantly reduce the instances of complications associated with surgery, such as vocal cord paralysis and hypoparathyroidism, without compromising the treatment outcomes.

Through active surveillance, the book argues for a patient-centered approach to thyroid cancer treatment, underscoring the importance of personalized care and the need to avoid overtreatment. It challenges the traditional rush towards surgery, presenting evidence that a watchful waiting strategy can lead to better psychological well-being for patients, with a minimal number of cases showing tumor growth or the development of small lymph nodes over time. The book effectively makes the case that for a significant number of patients, the best treatment may involve no surgery at all.

“Say No to Thyroid Surgery” is an essential read for anyone navigating the complexities of thyroid disease. It educates patients about their options and serves as a critical resource for healthcare providers, encouraging a shift towards more conservative, patient-centric management of thyroid conditions.

What's Inside

Empowerment Through Education

Readers gain a thorough understanding of thyroid health, including the nuances of various conditions and the latest treatment alternatives to surgery. This knowledge empowers individuals to make informed decisions about their health care.

Alternatives to Surgery Explored

The book delves into non-surgical options such as Radiofrequency Ablation (RFA) and Microwave Ablation (MWA), providing detailed insights into how these treatments work, their benefits and when they might be preferred over traditional surgery

Understanding Active Surveillance

The book advocates active surveillance over immediate surgical intervention for certain thyroid conditions, offering a compelling argument for a more conservative approach that prioritizes the patient’s long-term well-being.

Personalized Treatment Approaches

It emphasizes the importance of personalized care, showcasing how treatment plans should be tailored to individual patient needs, preferences, and the specific nature of their thyroid condition.

Real-Life Success Stories

By sharing patient stories, the book illustrates the positive outcomes that can result from exploring non-surgical treatments providing hope and reassurance to those facing similar health challenges.



Exclusive Interviews with Experts

The book includes in-depth interviews with over 150 doctors and medical professionals, offering a wide range of perspectives on thyroid health, the effectiveness of alternative treatments, and the importance of patient-centered care.

Comprehensive Case Studies

Through detailed case studies, readers can understand the practical application of non-surgical treatments, including patient selection criteria, treatment processes, and follow-up care.

Evidence-Based Research

The author presents a wealth of research and clinical data supporting the use of minimally invasive treatments for thyroid conditions, making a strong, evidence-based case against unnecessary surgery.

Guidance on Decision-Making

The book provides a framework for making health care decisions, including questions to ask healthcare providers, factors to consider when choosing between treatments, and how to assess the risks and benefits of each option.

Unique Methodologies

It introduces unique methodologies for evaluating and treating thyroid conditions, challenging conventional medical practices, and advocating for innovative approaches that reduce patient risk and improve outcomes.

"Say No to Thyroid Surgery" is a critical resource for anyone looking to navigate the complexities of thyroid health with confidence.

It offers a holistic view of available treatments, grounded in the latest science and enriched by real-world experiences, making it an indispensable guide for patients and healthcare providers.



"Reading 'Say No to Thyroid Surgery' brought me comfort and understanding in a time of uncertainty. It guided me through exploring alternatives to surgery with my doctor, offering a glimmer of hope when I needed it most."
Emily Rajagopal​
Thyroid Patient
"This book opened my eyes to new possibilities. Learning about Radiofrequency Ablation (RFA) empowered me to seek a less invasive treatment, avoiding surgery. I'm deeply thankful for the knowledge and support I found within its pages."
David Tanaka
Thyroid Patient
"The section on active surveillance gave me the confidence to choose a path of patience and observation for my small thyroid nodule. Two years later, my decision, inspired by the book, has kept me healthy and surgery-free."
Maria Gonzalez
Thyroid Patient
"Navigating through 'Say No to Thyroid Surgery' felt like being guided by a knowledgeable friend. It eased my anxiety by presenting alternative treatments for my thyroid condition. This book offered comfort and clarity when I needed it most."
Sophie Beaulieu
Thyroid Patient
"Finding this book marked a significant moment in my healthcare journey. The stories within it echoed my fears and hopes, creating a sense of belonging and understanding. It empowered me to take control and seek a treatment aligned with my values."
Alex Jensen
Thyroid Patient
"In the midst of my thyroid diagnosis confusion, this book emerged as a guiding light. It educated me about my options and connected me with the experiences of others facing similar challenges. I am deeply thankful for the hope and guidance it brought into my life."
Tara Mehta
Thyroid Patient


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