Surgical experience and meticulous surgical techniques are the two single most important factors in ensuring optimal patient outcomes and minimizing complications in thyroid surgery. However, it is without doubt that new technologies have also played a vital role in enhancing the safety of thyroid surgery. The present study is aimed to discuss how some of these new and emerging technologies (such as energy devices, intraoperative nerve monitoring, fluorescence-guided image surgery and artificial intelligence) have helped to improve surgical outcomes like shortening operating time and hospital stay, lowering recurrent laryngeal nerve and external branch of the internal laryngeal nerve and lowering risk of hypoparathyroidism after a total thyroidectomy.