 [ Symptoms ] when is thyroidectomy the answer  after 5 years of unregulated thyroid counts when would a thyroidectomy be the best alternative tired of constant mood swings lethargy being angry all the time it is time for some results forgot to mention i have hashimoto is disease [ Disease ] i am sorry to hear you are going through this it sounds very frustrating as you know hashimoto thyroiditis is a genetic condition in which the body is own immune system attacks the thyroid gland this makes it difficult for the gland to produce enough thyroid hormone to meet the body is needs although there is no cure for hashimoto is the usual treatment is thyroid hormone pills to keep thyroid levels steady i am not positive but i do not believe surgical removal of the thyroid  thyroidectomy  or destruction of the gland by radioactive iodine is a typical treatment for hypothyroidism in the absence of some other indication such as thyroid cancer an overactive thyroid gland hyperthyroidism that does not respond to other treatments may be treated by thyroidectomy i suggest you work more closely with an endocrinologist to get your medications adjusted perhaps you need to be monitored every three months for example also i would not be too quick to blame mood swings lethargy and chronic anger solely on hypothyroidism many many conditions physical and psychological can cause those types of symptoms perhaps seeing a counselor would be a good idea he or she could make sure you do not have any underlying depression and could also help you cope emotionally with the ups and downs of hashimoto is wishing you well