Surgery for thyroid disease is becoming much more common, but in some specialized institutions, ENT surgeons have difficulty obtaining experience of parathyroid surgery. Parathyroid disease can be divided into parathyroid adenoma with hyperparathyroidism and secondary hyperparathyroidism due to chronic kidney disease. Parathyroid adenoma with hyperparathyroidism is the most common cause of hypercalcemia and usually presents as nonspecific symptoms, such as, general weakness, osteoporosis, gastrointestinal disorder, kidney stones, and/or neurological symptoms, and thus, diagnosis is often delayed. Patients with secondary hyperparathyroidism due to chronic kidney disease require parathyroidectomy 10 years after the onset of dialysis in 6-10% of cases even when continuously treated in a nephrology department. Here, the authors share their experiences of parathyroid surgery.