Minimally invasive video-assisted thyroidectomy (MIVAT) is a surgical treatment for differentiated thyroid cancer with nodules less than 3 cm and thyroid volume less than 20 mL. Central neck dissection (CND) is standard treatment for patients with clinically involved central nodes, however, prophylactic central neck dissection is still debated. Is possible to perform also this part of operation with minimally videoassisted technique without extending the skin incision. The video shows timing and technique of this method. CND starts after thyroidectomy, at the top of the lodge, isolating lymph nodes from neurovascular bundle and recurrent nerve with traditional open technique. The preservation of the parathyroid glands is aided with the use of intraoperative green angiography that highlight parathyroid glands' uptake of dye. The dissection towards anterior mediastinum and the detachment of lymph nodes tissue from trachea is performed with video assisted technique, turning the camera downwards. The dissection of the recurrent nerves is carried out with the use of metal clips to avoid heat damage. This method is associated with less trauma and higher cosmetic satisfaction without increasing complications. The learning curves is fast for surgeon who have experience with MIVAT.