 Although patients do very well after total thyroidectomy with over 90 5-year survival for patients with well-differentiated thyroid carcinoma, total thyroidectomy with and without lateral neck dissection still carries the potential for serious complications including neck hematomas or seromas. Postoperative fluid collections continue to be problematic after thyroidectomy with or without lateral neck dissection with hematoma rates of 1-3 and seroma rates of 4-7. 3-5 In order to try and reduce the rate of hematomas and seromas after total thyroidectomy with or without lateral neck dissection, the majority of surgeons place closed suction drains CSDs in the wound prior to closure. Surgeons generally use drains in an attempt to identify, reduce, and or prevent hematomas and seromas even though there is little evidence to support this practice.3-5 