The results of surgical treatment of 112 patients with toxic forms of goiter were analyzed. Techniques for performing individual stages of strumectomy have been improved, which made it possible to avoid intraoperative complications. Achieved a reduction in the time period for performing complex stages from 15.8±0.9 to 6.7±0.5 minutes (p<0.001) and, accordingly, the total operation time from 92.7±4.8 to 63.4±3.6 minutes (p<0.001).