Acupuncture anesthesia in thyroid surgery has obtained some clinical results，which has analgesic effect and reduces complications.Acupoints combination was determined by referring literatures in recent 40 years and the experience of thyroid surgery in domestic hospitals through more than 800 multicenter clinical researches in past 10 years and corresponding experimental results.Futu (LI 18) acupoint group is in line with TCM theory of “qi arrives the location of disease”，and is also related with proximal point of the same ganglia section.Therefore，the analgesia effect is significant with advantages.Hegu (LI 4) and Neiguan (PC 6) acupoints combination is in line with the principle of “treating disease while meridians pass”，with sound analgesia effect and convenient operation.In thyroid surgery by acupuncture-assisted anesthesia is recommended by using electro-acupuncture in Futu (LI 18) and transcutaneous acupoints electrical stimulation in Hegu (LI 4) and Neiguan (PC 6).