Parathyroidectomy is the only curative option for patients with primary hyperparathyroidism.1 In the US, parathyroidectomy is often performed as an outpatient procedure, with a relatively low risk of complications. However, preoperative localization for culprit pathology can be challenging, and recurrence of primary hyperparathyroidism has been estimated to be as high as 10% to 15% 10 years later.2 Thus, there may be substantial benefits for patients being treated by surgeons with extensive experience in managing this disease.