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Endoscopic thyroidectomy is an advanced procedure and has a long learning curve. Most commonly employed approach is combined axillary-breast approach (ABA). Recently, transoral endoscopic thyroidectomy vestibular approach (TOETVA) is being popularised as a scarless procedure. However, it is not established whether TOETVA or ABA approach is better to begin with. The purpose of the study was to compare the initial experience of TOETVA and ABA with respect to difficulties and outcomes. A prospective non-randomised interventional study was