When is it time to surgically remove the thyroid gland due to multinodular thyroid disease?

I have had multinodular thyroid disease for many years. My thyroid gland works perfectly, but I have been monitored by various endocrinologists for years. I take Synthroid to get the nodules in check. However, in January, my tests (an ultrasound and a nuclear medicine scan) showed I now had 6 large fluid filled cold nodules. The Dr assured me they are benign. My Dr. increased my thyroid dosage for 6 months to see if there would be any improvement. I just had another ultrasound prior to my doctor's appt next week & now I have 30-40 nodules. I have some difficulty swallowing, especially at night if I lay on my back, and my neck sometimes hurts. I am I know that the medical people are reluctant to remove a thyroid gland that works, but I am beginning to feel that maybe it is time for the surgery. I am 54 and in good health otherwise. Has anyone else had this situation? Do you think I should discuss this with the endocrinologist and maybe get a 2nd opinion?

I certainly agree, you need to see another endocrinologist and get a 2nd if not a 3rd opinion. Do not neglect your condition, your current doctor might be right but might also be wrong. Good luck.