A thyroid nodule or goitre diagnosis used to lead fairly predictably toward one conversation: surgery. Remove part of the gland, or all of it, and manage the consequences, often lifelong thyroid hormone replacement from that point forward. For many patients in Chennai, that conversation still happens. But it no longer has to end there. Thyroid treatment without surgery is now a clinical reality through a technique called Radiofrequency Ablation RFA. An interventional radio