Objective: To assess the clinical presentation, surgical management of thyroid disorders and complication of thyroid surgeries in the tertiary care set up. Methods: This article is an audit of the thyroid surgeries performed in the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) department of Stanley Medical College and General Hospital, Chennai- 01, during the 6 year period from 2010 to 2017. The data was recorded on a pre designed proforma which comprehensively encompassed the relevant variables and outcome, which was interpreted systematically. Results: 178 Thyroid surgeries have been performed during this period of which were 106 total thyroidectomies and the remaining 72, hemi-thyroidectomies. Solitary nodular goiter of the thyroid was the most common benign disease encountered while papillary carcinoma was the common malignant disease of thyroid diagnosed. Conclusion: Thyroid disorders was prevalent among the population and it commonly affects younger females. Solitary nodular goiter was commonest cause and hemi thyroidectomy was most frequently performed surgery, the complications were minimal with experienced hands.