Our retrospective study analyses histopathological patterns, patient demographics, and surgical outcomes of thyroidectomy specimens in a tertiary care centre in Rajasthan. Over one year, 25 specimens were examined. Benign nodules predominated (60%), emphasizing the importance of accurate preoperative diagnosis. Malignant tumors, notably papillary carcinoma (20%), highlight the necessity for thorough evaluation and appropriate management. Total thyroidectomy (72%) and lobectomy (28%) were common procedures, reflecting the diverse surgical cases encountered. Neck dissection (20%) underscored the significance of lymph node evaluation in thyroid cancer management. Preoperative diagnoses correlated well with histopathological findings, except in a few cases, emphasizing diagnostic limitations.Thyroiditis (8%) complexity in interpretation and surgical outcomes. Hospital stays averaged 4.8 days. This study enhances understanding of thyroid pathology, guiding improved surgical management and diagnostic strategies.