Our patient is a 73 year old female who had a large goiter for many years. Recently she developed a cold and had trouble breathing. While shopping, she suffered a respiratory arrest. She was intubated and resuscitated by paramedics. A large goiter with substernal extension was diagnosed. This videotape illustrates the successful transcervical removal of this large substernal goiter which weighed close to 1000 grams. Produced and distributed by Ciné-Med