The patient had four previous surgeries for well‐differentiated papillary thyroid cancer at other institutions. In 2006, she underwent total thyroidectomy, removal of one central compartment node, and nine lateral neck lymph nodes of which six contained malignancy. Based on abnormal ultrasounds and thyroglobulin levels over the years, the patient was taken back to surgery on three subsequent occasions, including a comprehensive procedure in 2018, with revision neck dissection bilaterally including level 6 and left level 5. Seven of 31 lymph nodes were positive.