Surgeons can confidently implement overnight discharge after total thyroidectomy without increased complication risks.

• No differences in complications at 24 hours, 10 days, or 30 days between patients discharged on postoperative day 1 and those on day 3.
• 94.6% of patients discharged on day 1 reported high satisfaction with the rapid discharge protocol.

Patient selection is key; those with Graves’ disease may experience more complications.