Bhandarwar A, Gala J, Arora E, et al. - A bilateral neck exploration through a cervical incision with removal of the affected glands is a conventional treatment for primary hyperparathyroidism caused by adenomas. Focused approaches like minimally invasive video-assisted parathyroidectomy (MiVAP) and totally endoscopic parathyroidectomy (TOEP) are facilitated by intra-operative parathyroid hormone (IOPTH) monitoring and preoperative Tc99m MIBI scans. They tested patients with primary hyperparathyroidism for location of diseased gland and accordingly selected 11 cases to undergo endoscopic trans-vestibular parathyroidectomy and 16 cases to undergo endoscopic trans-axillary parathyroidectomy. Findings overall support the safety and feasibility of performing endoscopic parathyroidectomy when combined with preoperative imaging and intraoperative parathyroid hormone monitoring. A steady rise has been noted in the number of patients with primary hyperparathyroidism, a majority of whom are identified to have solitary gland affliction. The current standard is focused exploration, wherein endoscopic surgery can be a relevant approach to improve outcomes.