An interesting debate whether surgery is necessary or not for mild asymptomatic hyperparathyroidism was presented at the 16 th European Congress of Endocrinology (2014). Opinion in favor of surgery for mild or asymptomatic primary hyperparathyroidism Parathyroidectomy has been reported to reduce the discomfort, improve bone mineral density and quality of life, improve functional capacity, prevent all risks of complications and cost-effective. It was concluded that patients benefit from surgery due to high single-procedure cure rates and overall low complication rates.

Opinion against surgery for mild or asymptomatic hyperparathyroidism Mild or asymptomatic hyperparathyroidism is commonly stable, and risk of complications is very rare. Surgery was reported to be an expensive option without a clear demonstration of its value in the majority of patients. Use of oral calcium,…