 At this institution, it is common practice to place single drain in the thyroid bed and another drain in the neck of a lateral neck dissection is preformed and only remove drains once the output is less than 30ml over a 24-hour period or 15ml over a 12-hour period with a downward trend. Meeting this output volume criterion often takes several days. Often, a patient will be given the decision to be discharged home with a drain or wait and continue inpatient hospitalization until drain output requirements are met. Prolonged drain can lead to increased infection risks and unnecessary hospital stay. According the Healthcare Cost and Utilization Project, an average inpatient hospitalization in 2009 cost 2,000 per day, and is increasing6. The reduction of an average of just one hospital day per thyroidectomy patient could potential save 144,688,000 dollars a year. An evaluation of Arista use on reducing drain output may reveal unnecessary expenses related to increased hospital length of stay and could lead to significant cost savings. Further, the associated morbidity and health care costs of potential seroma or infected seroma complications may be avoided. 