 Groups 3 and 4 will consist of patients undergoing total thyroidectomy with lateral neck dissection. Patients in Group 3 will have 3 grams of Arista applied diffusely to the thyroid and neck wound bed before primary closure. Patients in Group 4 will not have any Arista applied. All incisions will be closed in 3 layers with 3-0 vicryl, 4-0 monocryl, and 5-0 fast absorbing sutures. All patients will receive standardized postoperative orders including inpatient antibiotics not to exceed 24hrs unless an infection is suspected and DVT prophylaxis; either weight based subcutaneous heparin or enoxaparin. 