Objective. Evaluation of the results of minimally invasive video-assisted thyroid operations compared with traditional interventions, as well as the study of optimal technical methods for their implementation. Material and methods. The results of performing 83 minimally invasive video-assisted surgeries in patients with thyroid diseases were studied. Hemithyroidectomy was performed in 59 cases, thyroidectomy was performed in 24 cases. The control group consisted of 85 patients with thyroid diseases in which surgical intervention was performed using a traditional open technique. 57 hemithyroidectomies and 28 thyroidectomies were performed in the control group. Results. When comparing the results of operations in the study groups, it was noted that the use of a video-assisted technique does not have a statistically significant effect on the average duration of the intervention (for hemithyroidectomy — 57.1±13.7 versus 55.8±14.2 min; p>0.05; with thyroidectomy — 87.6±22.8 versus 79.3±20.9 min; p>0.05) and the incidence of complications (2.4% versus 3.5%; p>0.05) with a statistically significant a reduction in the duration of postoperative parenteral analgesia (1.5±0.4 days versus 2.6±0.4 days; p<0.05), a reduction in the length of hospital stay of patients re (3.1±1.4 days against 4.1±1.7 days; p<0.05) and a decrease in the length of the scar on the front of the neck (2.0±0.4 cm against 5.9±0.6 cm; p<0.01). Conclusion. Minimally invasive video-assisted thyroid operations are doable, safe, and effective. This operating technique is characterized by a number of advantages compared to traditional interventions, subject to the selection criteria for patients and reasonable methods of surgical technique.