History and Evolution of Transoral Thyroidectomy Approach -- The Ethics of Novel Surgical Techniques -- Alternative Remote Access Approaches to Endocrine and Neck Surgery -- Patient Selection for Thyroidectomy and Parathyroidectomy Using the Transoral Endoscopic Vestibular Approach -- The Role of Ultrasound in Transoral Endocrine Surgery -- Lobectomy Versus Total Thyroidectomy in Suspicious Malignant Nodules -- Surgical Equipment Supplies, and Set-up for Transoral Thyroid and Parathyroid Surgery via the Vestibular Approach -- Transoral Endoscopic Vestibular Approach Technique: Steps, Tips, and Pearls -- Benign Nodules and Goiters -- Transoral Management of Indeterminate Thyroid Nodules -- Transoral Endoscopic Vestibular Approach for Management of Thyroid Malignancies -- Graves' Disease -- Transoral Vestibular Approach Parathyroidectomy: Patient Selection Considerations and Technique -- Special Considerations: Obesity, Reoperation to Transoral Endocrine and Neck Surgery -- Central Neck Dissection for Transoral Endoscopic Thyroidectomy Vestibular Approach -- Transoral Robotic Thyroidectomy -- Decision-Making Process in Converting to an Open Approach -- Transoral Endoscopic Thyroidectomy Vestibular Approach Complications and Safety: Reporting Objectives and Future Study Design.