To stim, or not to stim, that is the question

[...]numerous educational considerations may influence the decision to use IONM. [...]prevention of RLN injury remains one of the highest priorities of thyroid surgery. Furthermore, visual identification alone may have additional benefits in training the next generation of endocrine surgeons. [...]when it comes to the question of whether ‘to stim, or not to stim,’ the decision should be left to the purview of the operating surgeon, acknowledging that direct visualization with or without IONM are both acceptable strategies.Conflicts of interest The authors have no conflicts of interest to disclose.